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| Clinical application effect comparison of expanded sponge,gelatin sponge tamponade and expanded sponge tamponade alone after endoscopic sinus surgery |
| CHEN Sheng-wei CHEN Wei-dong LIN Chu-biao FANG Zhong-hong |
| Department of Otolaryngology,People′s Hospital of Chenghai District in Shantou City,Guangdong Province,Shantou 515800,China |
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Abstract Objective To investigate the clinical application effect of expanded sponge,gelatin sponge packing and expanded sponge packing alone after endoscopic sinus surgery.Methods From June 2017 to August 2018,80 patients treated in our hospital after endoscopic sinus surgery were selected as the research objects,and were divided into observation group (40 cases) and control group (40 cases) by double-color ball random grouping method.Patients in the observation group were stuffed with expanded sponge and gelatin sponge,while patients in the control group were stuffed with expanded sponge.Two groups of patients were compared in terms of various filling indexes (visual analogue scale [VAS]score of nasal cavity 24 h after operation,amount of bleeding during filling,amount of bleeding during extraction of nasal packing,difficulty in extraction of nasal packing),subjective pain score(sleep disorder,headache,nasal obstruction and nasal obstruction) and degree of nasal mucosa swelling.Results There was no significant difference in nasal cavity VAS score between the two groups at 24 h after operation (P>0.05).The bleeding volume of patients in the observation group during the filling period and the bleeding volume when nasal packing was extracted were both less than those in the control group,and the difficulty degree score when nasal packing was extracted was lower than that in the control group,the differences were statistically significant (P<0.05).The sleep disorder,headache,nasal obstruction and nasal obstruction scores of the patients in the observation group were lower than those in the control group,and the differences were statistically significant (P<0.05).The swelling degree of nasal mucosa in the observation group was lighter than that in the control group,and the difference was statistically significant (P<0.05).Conclusion Expanded sponge combined with gelatin sponge nasal packing has high application value after endoscopic sinus surgery,and can relieve patients′ subjective pain,which is worthy of clinical application and promotion.
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| [1] |
薛侦，殷敏.不同鼻腔填塞材料对鼻内镜术后填塞效果的影响[J].中国中西医结合耳鼻咽喉科杂志，2017，25（6）：436-439.
|
| [2] |
郑隽，熊敏，徐夏，等.医用膨胀海绵和纳吸棉用于鼻窦炎术后鼻腔填塞的效果评价[J].实用医院临床杂志，2018，15（3）：177-179.
|
| [3] |
文泽贤，储卫华，叶信珍，等.显微填塞治疗症状性骶管囊肿的长期疗效[J].中国微侵袭神经外科杂志，2017，22（4）：172-175.
|
| [4] |
袁龙，罗通勇，贾全凡，等.纳吸棉在慢性鼻-鼻窦炎鼻内镜术腔填塞中的应用[J].中国中西医结合耳鼻咽喉科杂志，2018，26（2）：117-119，109.
|
| [5] |
邵华，郭清华，彭梅君，等.丙酸氟替卡松明胶海绵在鼻内镜鼻窦术后术腔应用的疗效观察[J].河北医学，2017，23（11）：1817-1819.
|
| [6] |
何云生，张靖华，陈英武，等.鼻内镜术后术腔纳吸绵的处理方式研究[J].中国眼耳鼻喉科杂志，2017，17（3）：198-199.
|
| [7] |
黄河银，张勤修，蒋路云，等.湿润烧伤膏纱条和化腐生肌膏纱条促进鼻内镜术后鼻黏膜恢复的疗效比较[J].中华中医药杂志，2018，33（11）：454-457.
|
| [8] |
童玫玫，王向辉.鼻内镜下鼻用激素明胶海绵对鼻窦炎术腔迁延性炎症的疗效[J].中国眼耳鼻喉科杂志，2017，17（6）：412-414.
|
| [9] |
孙靖雯，张家雄，蔡晓菁，等.可吸收止血材料用于鼻内镜术后填塞效果的观察[J].中国眼耳鼻喉科杂志，2018，18（4）：254-257.
|
| [10] |
赵峥.鼻出血鼻内镜下胶原蛋白海绵鼻腔填塞的应用与临床研究[J].中国医药指南，2017，15（24）：51-52.
|
| [11] |
黄成勇.鼻内镜术后不同填塞物的止血效果观察[J].深圳中西医结合杂志，2017，27（2）：118-119.
|
| [12] |
零兴勤，覃宏康，班正锋，等.慢性鼻-鼻窦炎鼻内镜术后鼻腔不同填塞方式的效果比较[J].微创医学，2017，12（1）：130-132.
|
| [13] |
王会河，刘桂凤，徐景盛，等.精准填塞、传统填塞及无填塞在鼻内镜下电凝治疗难治性鼻出血中的临床疗效[J].中国现代医生，2017，55（9）：101-103.
|
| [14] |
富东娜.鼻内窥镜下膨胀海绵填塞鼻腔治疗鼻出血30例临床疗效观察[J].中国现代药物应用，2017，11（21）：24-25.
|
| [15] |
张建中，赵耀新，李静远，等.医用自交联透明质酸钠凝胶在鼻窦炎术后填充中的效果观察[J].国际医药卫生导报，2017，23（17）：2725-2728.
|
| [16] |
许亚佳，蒋成义.鼻内镜下应用鼻内自体材料治疗脑脊液鼻漏的临床效果观察[J].中华解剖与临床杂志，2018，23（6）：518-521.
|
| [17] |
苗莉，侯瑾，王霞.不同填塞止血材料在鼻内镜术后的应用[J].临床医学研究与实践，2018，3（12）：87-88.
|
|
|
|
