摘要
目的探讨术后鼻腔填塞和改良缝合处理对行鼻中隔偏曲矫正术患者症状评分及并发症的影响。方法选取浙江省丽水市人民医院2016年1月至2018年8月收治行鼻中隔偏曲矫正术患者共140例,以随机数字表法分为对照组(70例)和试验组(70例),分别在术后行鼻腔填塞和改良缝合处理;比较两组术后出血量、术后主观症状视觉模拟量表(VAS)评分、Lund-Kennedy评分及术后并发症发生率。结果两组术后出血量比较差异无统计学意义(P>0.05)。试验组术后鼻部疼痛、头部疼痛、头晕、流泪、鼻痒、鼻塞及睡眠困难VAS评分均显著低于对照组[(2.29 ± 0.65)分比(5.42 ± 1.19)分、(2.72 ± 0.67)分比(5.60 ± 0.85)分、(3.03 ± 0.46)分比(5.25 ± 0.73)分、(1.54 ± 0.40)分比(2.70 ± 0.64)分、(2.64 ± 0.56)分比(5.68 ± 0.83)分、(1.72 ± 0.57)分比(2.10 ± 0.71)分、(2.80 ± 0.63)分比(4.96 ± 0.91)分](P<0.05);同时两组术后并发症发生率比较差异无统计学意义(P>0.05)。结论相较于术后鼻腔填塞,术后鼻腔改良缝合处理方案用于行鼻中隔偏曲矫正术患者可有效缓解主观症状,减轻术后痛苦;且两种方案在控制出血量、促进鼻腔黏膜修复及安全性方面均较为接近。
Objective To investigate the influence of nasal packing and modified suture after operation on symptom scores and complications of patients undergoing nasal septum deviation correction. Methods One hundred and forty patients who had underwent nasal septum deviation correction were chosen in the period from January 2016 to August 2018 in People′s Hospital of Lishui City and randomly divided into two groups including control group (70 patients) with nasal packing after operation and experiment group (70 patients) with nasal modified suture after operation. The bleeding loss volume, subjective symptoms visual analogue scale(VAS) score, Lund-Kennedy score and complication incidence after operation of both groups were compared. Results There was no significant difference in the bleeding loss volume between two groups (P > 0.05). The VAS score of nasal pain, head pain, dizziness, tears, nasal itching, nasal congestion and dyskoimesis after operation of experiment group were significantly lower than those of control group:(2.29 ± 0.65) scores vs.(5.42 ± 1.19) scores,(2.72 ± 0.67) scores vs.(5.60 ± 0.85) scores,(3.03 ± 0.46) scores vs.(5.25 ± 0.73) scores,(1.54 ± 0.40) scores vs.(2.70 ± 0.64) scores,(2.64 ± 0.56) scores vs.(5.68 ± 0.83) scores,(1.72 ± 0.57) scores vs.(2.10 ± 0.71) scores,(2.80 ± 0.63) scores vs.(4.96 ± 0.91) scores, P < 0.05. There was no significant difference in the complication incidence after operation between two groups (P > 0.05). Conclusions Compared with nasal packing after operation, modified suture after operation in the treatment of patients undergoing nasal septum deviation correction can efficiently relieve subjective symptoms and decrease postoperative pain degree;but nasal packing and modified suture after operation possess the same clinical effects on controlling bleeding volume and promoting nasal mucosa repair and safety.
作者
徐开睿
Xu Kairui(Department of Otolaryngology, Head and Neck Surgery, People's Hospital of Lishui City, Zhejiang Lishui323000, China)
出处
《中国医师进修杂志》
2019年第6期502-505,共4页
Chinese Journal of Postgraduates of Medicine
关键词
鼻腔填塞
鼻腔缝合
鼻中隔偏曲矫正术
Nasal packing
Nasal suture
Nasal septum deviation correction
