摘要
目的:探究鼻内镜下微波治疗鼻腔后部出血的临床效果与意义。方法:选取我院五官科收治的77例鼻腔后部出血患者作为临床研究对象,并将将这77例患者分成A、B两组,对A组38例患者采取棉片浸以1‰肾上腺素紧塞鼻腔的治疗方案,并设A组为对照组;对B组39例患者采取鼻内镜下微波灼烧止血的治疗方案,将B组设为实验组。分别观察两组患者经不同治疗方案治疗后的鼻出血情况的变化。结果:在治疗后10分钟、30分钟、60分钟后,A组出血情况仍没有改善的患者人数及比例明显多于B组,P<0.05,具有统计学意义。在治疗后三个月、六个月后A组患者鼻腔后部出血复发人数及比例明显高于B组,P<0.05,有统计学意义。结论:鼻内镜下微波灼烧治疗鼻腔后部出血效果比局部使用1‰肾上腺素的治疗效果好,而且毒副作用小。
Objective：To explore the clinical effects and significance of treating posterior nasal bleeding with microwave under nasal endoscope.Methods：77 posterior nasal bleeding patients treated in the ENT Department of our hospital were selected as the object of clinical study and were divided into group A and group B.38 patients of group A adopted cotton fleexe that had been socked in 1‰ adrenaline tightly stuffed in the nasal cavity,and group A was taken as control group.39 patients of group B adopted microwave ignition under nasal endoscope to stop bleeding,and group B was taken as experimental group.Respectively observe the changes of nasal bleeding condition of the two groups after different treatments.Results：10 minutes,30 minutes and 60 minutes later after the treatment,the number and percentage of patients of group A who did not get the bleeding condition improved was obviously higher than that of group B,P0.05,and there was statistical significance.3 months and 6 months later after the treatment,the number and percentage of patients of group A who had recurred posterior nasal bleeding were obviously higher than that of group B,P0.5 and there was statistical significance.Conclusion： The treatment of posterior nasal bleeding with microwave ignition under nasal endoscope has better therapeutic effects than local application of 1‰adrenaline and has less toxic and side effects.
出处
《中国医药导刊》
2013年第5期774-774,776,共2页
Chinese Journal of Medicinal Guide
关键词
鼻内镜
微波
鼻腔后部
出血
Nasal endoscope
Microwave
Posterior nasal cavity
Nleeding.
