西南医科大学学报2024，Vol.47Issue(3)：256-259,4.DOI:10.3969/j.issn.2096-3351.2024.03.015
鼻内镜下"M"字连续贯穿缝合技术对鼻中隔偏曲矫正患者术后疼痛、症状评分及预后的影响
Effects of continuous"M"suture technique under nasal endoscopy on postop-erative pain,symptom score and prognosis of patients with nasal septum devia-tion correction
摘要
Abstract
Objective To analyze the effects of continuous"M"suture technique under nasal endoscopy on postoperative pain,symptom score and prognosis of patients with nasal septum deviation correction.Methods Retrospective analysis of clinical data of all patients was conducted,and they were divided into a control group(nasal packing)of 52 cases and an observation group(continuous"M"suture under nasal endoscopy)of 53 cases according to different intervention methods during surgery.The clinical efficacy,Opera-tion time,hospital stay,symptom resolution time,blood loss,Numeric Rating Scale(NRS)score,Visual Analogue Scale(VAS),Lund-Kennedy score and complications were compared between the two groups.Results The total curative effect rate of the control group was 86.79%,and that of the observation group was 84.61%.There was no difference between the two groups(P>0.05),there was no signifi-cant difference in the operation time and hospital stay between the two groups(P>0.05),the symptom disappearance time in the obser-vation group was shorter than that in the control group,and the blood loss in the observation group was less than that in the control group(P<0.05).The NRS score of patients at 48h,7d and 10d after surgery was decreased,and the NRS score of the observation group at 48h,7d and 10d after surgery was lower than that of the control group(P<0.05).48h after operation,the scores of nasal congestion,headache,ear tightness,tinnitus,sleep disorder and dysphagia in the observation group were lower than those in the control group(P<0.05).48h after operation,the scores of edema,scar and secretion in the observation group were lower than those in the control group(P<0.05).The incidence of complications in the control group was 19.23%,while in the observation group it was 5.66%,with the ob-servation group having a lower complication rate than the control group(P<0.05).Conclusion The use of"M"continuous through-suture technique under nasal endoscope after correction of nasal septum deviation could reduce pain to a certain extent,relieve clinical symptoms,reduce symptom score,improve prognostic effect,and effectively reduce the occurrence of complications,which was worthy of clinical promotion.关键词
鼻内镜下"M"字连续贯穿缝合技术/鼻中隔偏曲/术后疼痛/症状评分/预后Key words
"M"continuous penetrating suture technique under nasal endoscopy/Deviated septum/Postoperative pain/Symp-tom score/Prognosis分类
医药卫生引用本文复制引用
李蓓,黄菊芳,韩俊彩,李雪姣,吴娜..鼻内镜下"M"字连续贯穿缝合技术对鼻中隔偏曲矫正患者术后疼痛、症状评分及预后的影响[J].西南医科大学学报,2024,47(3):256-259,4.基金项目
河南省医学科技攻关计划联合共建项目(LHGJ201901305) （LHGJ201901305）
