慢性鼻窦炎鼻息肉围手术前期处理对术中出血的影响分析.docVIP

慢性鼻窦炎鼻息肉围手术前期处理对术中出血的影响分析 　　[摘要] 目的 研究减少慢性鼻窦炎、鼻息肉围手术前期处理对术中出血的方法。方法 方便选取该院2014年1月―2016年12月期间所收治的150例行慢性鼻窦炎、鼻息肉手术患者作为该次研究对象，按照计算机数字表法将其分为研究组和对照组，每组各75例，对照组患者均未经行围手术前期处理，研究组患者为进行围手术期术前处理，对比分析两组患者的手术有效率，术中出血量。结果 研究组患者手术有效率（94.67%）显著高于对照组（82.67%），研究组患者术中出血量为（89.29±10.73）mL，对照组患者术中出血量为（162.49±13.58）mL，研究组患者术中出血量明显少于对照组，两组差异有统计学意义（P0.05）。结论 术前用药控制能够有效减少鼻窦炎、鼻息肉患者在内镜鼻窦手术中的出血量，而良好的应用血管收缩剂也能够在一定程度上控制性低血压的应用和控制出血高危因素，并且能够有效减少患者在手术中的损伤。 　　[关键词] 鼻窦炎；鼻息肉；内窥镜检查；出血 　　[中图分类号] R765.9 [文献标识码] A [文章编号] 1674-0742（2017）04（c）-0092-03 　　[Abstract] Objective To research the method of reducing the effect of perioperative handling of Chronic sinusitis and nasal polyps on the intraoperative bleeding. Methods 150 cases of patients with chronic sinusitis and nasal polyps admitted and treated in our hospital from January 2014 to December 2016 were convenient selected and randomly divided into two groups with 75 cases in each， the control group did not undergo the perioperative handling， while the research group underwent the perioperative handling， and the operative effective rate and intraoperative bleeding amount were compared between the two groups. Results The operative effective rate in the research group was obviously higher than that in the control group（94.67% vs 82.67%）， and the intraoperative bleeding amount in the research group was obviously lower than that in the control group， [（89.29±10.73）mL vs （162.49±13.58）mL]， and the difference was statistically significant（P0.05）. Conclusion The medical control before operation can effectively reduce the bleeding amount of chronic sinusitis and nasal polyps in the endoscopic sinus surgery， and the good application of sngiotonica can control the application of hypotension and control the high-risk factors of bleeding to a certain degree and effectively reduce the operative injury of patients. 　　[Key words] Sinusitis； Nasal polyps； Splanchnoscopy； Bleeding 　　随着医学技术的不断发展，鼻内镜鼻窦手术已经得到了广泛的发展，这项技术的应用使得慢性鼻窦炎与鼻息肉患者的治疗效果得到了明显提高，但是由于疾病本身与患者本身存在诸多