凡士林纱条配合膨胀海绵填塞治疗难治性鼻出血患者耐受性效果观察.doc

凡士林纱条配合膨胀海绵填塞治疗难治性鼻出血患者耐受性效果观察 　　摘要：目的 观察凡士林纱条配合膨胀海绵填塞治疗难治性鼻出血患者耐受性的疗效。方法 总结耳鼻喉科经填塞治疗的鼻出血患者60例，随机分为观察组和对照组各30例，观察组采用凡士林纱条配合膨胀海绵填塞治疗，对照组采用传统的凡士林纱条填塞治疗。结果 观察组的疗效及舒适度，明显优于对照组，且存在显著差异。结论 用凡士林纱条将膨胀海绵包裹起来联合应用，既有凡士林的润滑性，又有膨胀海绵的可塑性，既克服了凡士林的缺点，又吸取了膨胀海绵的优点，填塞操作均方便，既省时又省力，既达到了止血的目的，又有利于鼻腔粘膜的保护，便于临床应用 关键词：鼻出血；膨胀海绵；生物材料 Effect of Vaseline Gauze Combined with Expanded Sponge Cuff in the Treatment of Patients with Refractory Oral Hemorrhage DI Rui-ling，ZHANG Li-na （Department of Stomatology，the First Hospital of Qinhuangdao City，Qinhuangdao 066000，Hebei，China） Abstract：Objective To observe the efficacy of Vaseline gauze combined with expansive sponge packing in the treatment of refractory epistaxis. Methods 60 patients with epistaxis treated by ENT were divided into observation group and control group.The observation group was treated with Vaseline gauze and expanded sponge packing.The control group was treated with traditional Vaseline gauze.Results The efficacy and comfort of the observation group were significantly better than the control group，and there were significant differences.Conclusion The vaseline gauze will wrap up expansive sponge combined，both lubrication and Vaseline，expansion plastic sponge，which overcomes the shortcomings of Vaseline and absorbs， expansive sponge has the advantages of convenient operation，packing，time-saving and labor-saving，can not only achieve the purpose of hemostasis， but also conducive to the protection the nasal mucosa，convenient for clinical application. Key words：Epistaxis；Expansion sponge；Biological material 鼻出血是基?右皆憾?鼻喉科最常见的急症之一，既是症状又是体征，据统计其发生率为10%～20%[1]。多数鼻出血可自行停止或经过治疗后停止，但仍有少数患者经多次处理仍不能控制。2010年1月～2014年10月本科收治60例顽固性鼻出血患者，采用凡士林纱条配合膨胀海绵填塞止血，取得了良好的效果 1 资料与方法 1.1一般资料 60例患者男36例，女24例，年龄28～78岁，平均年龄45.5岁，病程1～10 d；其中有高血压病史者15例，有糖尿病史者10例，均以反复性鼻出血就诊；经前后鼻孔填塞、微波止血后仍然再次出血。60例患者随机分为观察组和对照组各30例。两组年龄、性别、病情等经统计学处理，差异无统计学意义（P0.05），具有可比性 1.2治疗方法 患者取坐位，在鼻内镜（0°、30°、70°）下，用吸引器吸净鼻腔内分泌物及积血，清除凝血块，用2%地卡因（含1∶1000肾上腺素）纱条收缩麻醉鼻腔粘膜3～5 min