CAJ | 학술논문

目的：观察纳吸绵(NasoPore8×2×1.5cm)配合凡士林纱条（6cm×30cm河南亚都实业有限公司）和膨胀海绵(Meroce1)在功能性鼻内窥镜(FESS)术后填塞的疗效对比。方法：将116例功能性鼻窦内窥镜术后患者分为纳吸绵+凡士林组和膨胀海绵组。术后分别置入鼻腔纳吸绵+凡士林纱条和膨胀海绵行填塞止血，观察2组患者术后疼痛率、出血率以及术腔恢复情况比较。结果：纳吸绵+凡士林组疼痛率和出血率分别为81.03%和13.79%；膨胀海绵组则为77.59%和41.38%；②在中鼻通粘连与筛窦内囊泡的方面，纳吸绵+凡士林组(15.52％)低于膨胀海绵组(32.76％)。结论：在F E S S术中应用纳吸绵+凡士林组纳吸绵填塞能更有效的减少术区出血，促进术腔黏膜上皮化，缩短住院时间，加用凡士林纱条弥补单纯使用纳吸绵填塞压力不足，渗血较厉害，通过这样的方式即达到有效止血、支撑术腔，促进术腔尽早上皮化问题，尤其减少使用过多纳吸绵或者其他止血材料，不经济等问题。使我们医务人员更容易有效的进行医患沟通，达到精简、效果好、痛苦时间短，病人恢复快的目的。从而减轻患者的痛苦，提高患者术后恢复质量，值得临床推广。
목적：관찰납흡면(NasoPore8×2×1.5cm)배합범사림사조（6cm×30cm하남아도실업유한공사）화팽창해면(Meroce1)재공능성비내규경(FESS)술후전새적료효대비。방법：장116례공능성비두내규경술후환자분위납흡면+범사림조화팽창해면조。술후분별치입비강납흡면+범사림사조화팽창해면행전새지혈，관찰2조환자술후동통솔、출혈솔이급술강회복정황비교。결과：납흡면+범사림조동통솔화출혈솔분별위81.03%화13.79%；팽창해면조칙위77.59%화41.38%；②재중비통점련여사두내낭포적방면，납흡면+범사림조(15.52％)저우팽창해면조(32.76％)。결론：재F E S S술중응용납흡면+범사림조납흡면전새능경유효적감소술구출혈，촉진술강점막상피화，축단주원시간，가용범사림사조미보단순사용납흡면전새압력불족，삼혈교려해，통과저양적방식즉체도유효지혈、지탱술강，촉진술강진조상피화문제，우기감소사용과다납흡면혹자기타지혈재료，불경제등문제。사아문의무인원경용역유효적진행의환구통，체도정간、효과호、통고시간단，병인회복쾌적목적。종이감경환자적통고，제고환자술후회복질량，치득림상추엄。
Objective:Na absorption cotton (NasoPore8*2*1.5 cm) with vaseline gauze strip and expansion sponge in functional to fill the curative effect of nasal endoscopic surgery.Methods:Inclusion of 116 patients with functional endoscopic sinus surgery were divided into suction cotton+vaseline group and expansion sponge. Postoperative nasal cavity were inserted, cotton+vaseline gauze strip and expansion sponge tamponade hemostasis, observe two groups patients postoperative pain rate, cavity bleeding rate and recovery. Results:Suction cotton+vaseline group rate of pain and bleeding rate were 81.03%and 13.79%respectively;Inflation sponge group was 77.59%and 77.59%.Conclusions Applied in the FESS surgery, absorb cotton+vaseline group, cotton stuffing the area can be more effective to reduce bleeding and promote cavity mucosal epithelium, shorten hospitalization time, worth clinical promotion.