湿性愈合敷料对鼻出血鼻腔填塞患者生理舒适度及并发症的影响

Influence of moist healing dressing on comfort degree and complications in patients with nasal ;packing for epistaxis patients

目的：探讨湿性愈合敷料对鼻出血鼻腔填塞患者生理舒适度及并发症的影响。方法将70例鼻出血行鼻腔填塞患者按抽签法分为A、B 2组，每组35例。A组使用凡士林纱条填塞， B组使用湿性愈合敷料行复合填塞。比较2组疼痛、鼻腔异味、睡眠障碍、止血效果、鼻腔黏膜反应、发热、鼻腔粘连情况。结果患者鼻腔填塞时A组疼痛、睡眠障碍、鼻腔异味评分分别为（9.80±0.12）、（7.10±0.33）、（9.44±0.25）分，B组分别为（3.82±0.16）、（3.22±0.16）、（0.37±0.09）分，A组评分明显高于B组，差异有统计学意义（t=-179.97、-7.22、-7.33，P＜0.05）；A组发热、鼻腔粘连分别为33、6例，B组各为0例，差异有统计学意义（χ2=62.43、6.56，P＜0.05）。结论鼻腔填塞患者存在不同程度的不适反应，使用湿性愈合敷料对鼻出血患者进行有针对性的复合填塞，可明显增加患者的生理舒适度，减少鼻腔填塞并发症的发生。

Objective To investigate the moist healing dressing nasal packing for epistaxis patients′physiological comfort and complications. Methods 70 patients of epistaxis patients with nasal packing by drawing lots were divided into A, B two groups of 35 cases. Group A used Vaseline gauze, and group B used moist healing dressings of composite fillings. Comparison of the two groups of pain, nasal odor, sleep disorders, hemostatic effect, nasal mucosa reaction, fever, nasal adhesions were conducted. Results Patients when nasal packing group A pain, sleep disorders and nasal odor scores were (9.80 ± 0.12), (7.10 ± 0.33) and (9.44 ± 0.25) points, group B were (3.82 ± 0.16), (3.22 ± 0.16) and (0.37 ± 0.09) points. Group A scored significantly higher than group B, the difference was statistically significant (t=-179.97,-7.22,-7.33, P <0.05). Group A fever and nasal adhesions were 33 cases and 6 cases respectively, while those figures in group B both were 0, the difference was statistically significant (χ2=62.43, 6.56, P<0.05). Conclusions Nasal packing varying degrees of discomfort in patients, the use of moist healing dressings for epistaxis targeted composite filling, can significantly increase the patients ’ physiological comfort and reduce the complications of nasal packing.