CAJ | 학술논문

目的：观察双气囊硅胶止血导管治疗后鼻孔出血的疗效。方法对2011年1月-2012年6月门急诊就诊的112例明确为后鼻孔出血患者进行治疗，行双气囊硅胶止血导管治疗62例（导管组），凡士林油纱条常规前后鼻孔填塞治疗50例（凡士林组），观察患者疼痛、通气和止血效果。每项指标设定5个级别，根据3项主要指标评分分析其疗效差异。结果鼻腔硅胶双气囊通气止血导管和凡士林油纱条均有明显的止血效果，两者差异无显著性意义（P＞0．05），但在治疗过程中，鼻腔硅胶双气囊通气止血导管在保持鼻腔通气和减轻疼痛方面（平均评分分别为97．42和91．77）优于凡士林油纱条（平均评分分别为1．60和21．80）（P＜0．05）。结论应用双气囊硅胶止血导管治疗后鼻孔出血方便简单，副作用少，效果确实可靠，并且兼顾了保持患者鼻腔通气和减轻疼痛等问题，提升了后鼻孔出血患者治疗期间的生活质量。
목적：관찰쌍기낭규효지혈도관치료후비공출혈적료효。방법대2011년1월-2012년6월문급진취진적112례명학위후비공출혈환자진행치료，행쌍기낭규효지혈도관치료62례（도관조），범사림유사조상규전후비공전새치료50례（범사림조），관찰환자동통、통기화지혈효과。매항지표설정5개급별，근거3항주요지표평분분석기료효차이。결과비강규효쌍기낭통기지혈도관화범사림유사조균유명현적지혈효과，량자차이무현저성의의（P＞0．05），단재치료과정중，비강규효쌍기낭통기지혈도관재보지비강통기화감경동통방면（평균평분분별위97．42화91．77）우우범사림유사조（평균평분분별위1．60화21．80）（P＜0．05）。결론응용쌍기낭규효지혈도관치료후비공출혈방편간단，부작용소，효과학실가고，병차겸고료보지환자비강통기화감경동통등문제，제승료후비공출혈환자치료기간적생활질량。
Objective To evaluate the effect of double -balloon catheter in the management of epistaxis .Methods One hundred and twelve cases of the patients suffering from posterior epistaxis were treated , who visited the emergency depart-ment during the period from January , 2011 to June, 2012.Among them, 62 cases were treated with double -balloon cathe-ter ( the experimental group ) , and 50 cases were treated with the conventional vaseline oil gauze ( the controlled group ) . The patients'pain, ventilation and the hemostatic effect were observed .There were 5 levels for each indicator and the differ-ence in effect was analyzed according to 3 main indicators .Results Both the two methods have obvious hemostatic effects , the difference with no statistic significance (P>0.05).But in the process, the method of double -balloon catheter is bet-ter than that of vaseline oil gauze in matters of keeping nasal ventilation and relieving the pain ( P<0.05).Conclusion This study highlights that double -balloon catheter provided a more simple and convenient way of packing with less side effect and reliable effect .Meanwhile, it took into account the issues such as the patients'nasal ventilation and pain relief , then improved the patients'life quality when being treated .