CAJ | 학술논문

目的探讨止血材料泰绫在老年人鼻内镜手术后术腔填塞中的应用效果. 方法 72例行鼻内镜手术的老年慢性鼻窦炎、鼻息肉患者分为泰绫组38例和藻酸钙组34例,两组分别应用素绫和藻酸钙作为鼻内镜术后术腔填塞材料,比较填塞过程中、填塞物取出后两组患者鼻内出血情况,填塞过程和取出后24 h头痛、鼻塞、鼻痛等不适症状. 结果泰绫组和藻酸钙组填塞过程中出血率分别为31.6％(12例)、58.8％(20例),填塞物取出后出血率分别为15.8％(6例)、41.2％(14例)(P＜0.01);鼻痛泰绫组在填塞过程中、填塞物取出后12h、填塞物取出后24 h分别为(2.8 ±0.6)分、(1.3±0.5)分,藻酸钙组分别为(5.2±0.4)分、(4.3±0.6)分,两组比较差异有统计学意义(均P＜0.05),填塞过程中泰绫组和藻酸钙组鼻塞分别为(5.4±0.9)分、(8.3±0.6)分(P＜0.05). 结论泰绫在老年鼻内镜术后术腔填塞中具有安全、有效的止血作用,且不适症状较轻,术腔恢复较好,是较理想的术腔填塞材料.
목적 탐토지혈재료태릉재노년인비내경수술후술강전새중적응용효과. 방법 72례행비내경수술적노년만성비두염、비식육환자분위태릉조38례화조산개조34례,량조분별응용소릉화조산개작위비내경술후술강전새재료,비교전새과정중、전새물취출후량조환자비내출혈정황,전새과정화취출후24 h두통、비새、비통등불괄증상. 결과 태릉조화조산개조전새과정중출혈솔분별위31.6％(12례)、58.8％(20례),전새물취출후출혈솔분별위15.8％(6례)、41.2％(14례)(P＜0.01);비통태릉조재전새과정중、전새물취출후12h、전새물취출후24 h분별위(2.8 ±0.6)분、(1.3±0.5)분,조산개조분별위(5.2±0.4)분、(4.3±0.6)분,량조비교차이유통계학의의(균P＜0.05),전새과정중태릉조화조산개조비새분별위(5.4±0.9)분、(8.3±0.6)분(P＜0.05). 결론 태릉재노년비내경술후술강전새중구유안전、유효적지혈작용,차불괄증상교경,술강회복교호,시교이상적술강전새재료.
Objective To investigate the effect of anti-bleeding gauze (TISTAT) in nasal packing after endoscopic sinus surgery in elderly patients.Methods 72 elderly patients with chronic sinusitis and nasal polyps for endoscopic sinus surgery were divided into two groups:TISTAT group (use TISTAT,n=38) and calcium alginate group(use calcium alginate,n=34).TISTAT and calcium alginate were respectively used as packing materials in TISTAT and calcium alginate group.Hemorrhage in the packing process and after the packing materials removed were observed and compared.The symptoms such as headache、nasal blockage and nose pain during the packing process and 24 hours after the packing materials removed were compared.The recovery of surgery cavity in 4 weeks after surgery which reviewed once a week were checked and compared.Results The tamponade during hemorrhage rates of TISTAT group and calcium alginate group were 31.6％ (12 cases)、58.5％ (20 cases),after removing the tamponade,the total bleeding rates were 15.8％,41.2 ％,two groups had significant difference (P＜0.01) ;TISTAT group nasal pain symptoms in the packing process,packing materials were 12 h,stuffing out after 24 h were (2.8±0.6)、(1.3±0.5),calcium alginate group nasal pain symptoms in the packing process,packing materials were 12 h.stuffing were 24 h were (5.2±0.4)、(4.3±0.6),two groups of nasal pain symptom difference was statistically significant (P＜0.05),but the process of tailing and calcium alginate group blocked nose were (5.4±0.9) 、(8.3±0.6),the two groups had significant difference (P＜0.05).Conclusions The anti-bleeding gauze(TISTAT) has safety and active role in nasal packing after endoscopic sinus surgery in elderly patients with less symptoms and a better surgical cavity recovery.It is an ideal packing material.