检验医学与临床Issue(9)：1273-1275,3.DOI:10.3969/j.issn.1672-9455.2015.09.037
鼻内镜下电凝止血与局部填塞治疗难治性鼻出血比较
A comparative study of endoscopic electrocoagulation hemostasis and local packing in treating refractory epistaxis
肖涛1
作者信息
- 1. 重庆市垫江县人民医院耳鼻咽喉科 408300
- 折叠
摘要
Abstract
Objective To compare and analyze the effect of endoscopic electrocoagulation hemostasis and local packing in treating refractory epistaxis .Methods 90 cases of refractory epistaxis in our hospital were enrolled and randomly divided into the observation group reated by endoscopic electrocoagulation hemostasis and the control group treated only by local packing treatment .Then the hemostasis related indexes and postoperative negative emotion inde‐xes were observed in the two groups .Results In the observation group ,the bleeding volume was (36 .2 ± 6 .4)mL , hemostatic time was (42 .1 ± 6 .9)min ,nasal mucosa recovery time was (3 .4 ± 0 .7)d ,nasal ventilation recovery time was (2 .6 ± 0 .5)d ,rebleeding rate after packing was(4 .44% ) ,syndrome response occurrence rate after treatment was (15 .56% ) and mucosa change rate was (13 .33% ) ,which were significantly lower than thosein the control group;the NRS scores of HAMA and HAMD ,SAS and SDS at 3 h after hemostasis were significantly lower than those in the control group ,the differences were statistically significant (P<0 .05) .Conclusion Endoscopic electrocoagulation he‐mostasis conduces to improve the hemostatic effect and nasal function ,prevent rebleeding ,alleviate negative emotions and possesses the active clinical value.关键词
难治性鼻出血/鼻内镜/电凝止血/局部填塞Key words
refractory epistaxis/endoscopy/electrocoagulation/local packing引用本文复制引用
肖涛..鼻内镜下电凝止血与局部填塞治疗难治性鼻出血比较[J].检验医学与临床,2015,(9):1273-1275,3.
