龙血竭粉溶解液注射医用膨胀海绵对鼻内镜下慢性鼻窦炎鼻息肉切除术后患者的止血效果

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Abstract Objective To evaluate the hemostatic effect of injecting Longxuejie Powder dissolving solution into medical swelling sponge on patients of chronic sinusitis with nasal polyps resection under nasal endoscopy. Methods From October 2014 to May 2021, 40 patients of bilateral chronic sinusitis with nasal polyps resection under nasal endoscopy who were treated in Jiangxi Province Hospital of Chinese and Western Combination were used as research subjects.They were divided into observation group and control group by random number table method, 20 cases in each group.Observation group was treated with injecting Longxuejie Powder dissolving solution into medical swelling sponge for hemostasis. Patients in control group were treated with 0.9% normal saline injection of medical expandable sponge for hemostasis. The curative effect of nasal hemostasis and nasal mucosahealing were observed and compared between the two groups. Results The total effective rate of hemostasis in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). There was no significant difference in the scores of symptoms and signs between the two groups before treatment (P>0.05). The improvement of symptoms and signs in the observation group was better than that in the control group after treatment, and the difference was statistically significant (P<0.05). After treatment, the amount and frequency of bleeding, nasal congestion, dizziness, nasal mucosa, secretions, polyps, scars, scabs scores and total scores of the two groups were lower than those before treatment, and the differences were statistically significant (P<0.05). The scores of amount and frequency of bleeding, nasal congestion, dizziness, nasal mucosa, secretions and polyps in the observation group were lower than those in the control group after treatment, and the differences were statistically significant (P<0.05). However, there were no significant differences between the two groups in the scores of changes in scars and scabs after treatment (P>0.05). Conclusion After polyps resection of chronic sinusitis under nasal endoscopy, nasal injection of Longxuejie Powder dissolving solution for medical expansion and packing to stop bleeding has high clinical value, and the postoperative nasal mucosa healed well, which is worthy of clinical application and promotion.

Key words： Endoscopic sinus surgery Longxuejie Powder dissolving solution Chronic sinusitis with nasal polyps;Hemostatic effect

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