CAJ | 학술논문

目的：探讨硅胶双气囊止血导管应用于鼻内镜术后鼻腔填塞中的效果。方法对80例双侧慢性鼻窦炎鼻息肉的患者，全麻下行鼻内镜手术，男47例，女33例，中位数年龄43岁，术后随机分为2组，每组各40例患者，其中止血海绵组术后填塞止血海绵，止血导管组填塞硅胶双气囊止血导管+止血海绵，观察患者术后疼痛、通气情况及取出后鼻腔渗血情况，观察疗效。结果硅胶双气囊通气止血导管组保持鼻腔通气和减轻疼痛方面（平均评分分别为78.8和2.32）优于止血海绵组（平均评分分别为0和5.26），差异有统计学意义（P<0.05）。同时，硅胶双气囊止血导管在取出时鼻腔渗血情况方面亦优于止血海绵组。结论硅胶双气囊止血导管是很好的鼻内镜手术鼻腔填塞物，操作简便，止血效果可靠，同时还能较好的保持患者鼻腔通气，减轻疼痛，提高患者治疗期间的生活质量。
목적：탐토규효쌍기낭지혈도관응용우비내경술후비강전새중적효과。방법대80례쌍측만성비두염비식육적환자，전마하행비내경수술，남47례，녀33례，중위수년령43세，술후수궤분위2조，매조각40례환자，기중지혈해면조술후전새지혈해면，지혈도관조전새규효쌍기낭지혈도관+지혈해면，관찰환자술후동통、통기정황급취출후비강삼혈정황，관찰료효。결과규효쌍기낭통기지혈도관조보지비강통기화감경동통방면（평균평분분별위78.8화2.32）우우지혈해면조（평균평분분별위0화5.26），차이유통계학의의（P<0.05）。동시，규효쌍기낭지혈도관재취출시비강삼혈정황방면역우우지혈해면조。결론규효쌍기낭지혈도관시흔호적비내경수술비강전새물，조작간편，지혈효과가고，동시환능교호적보지환자비강통기，감경동통，제고환자치료기간적생활질량。
Objective To explore the effect of double silicone balloon catheter used as nasal packing materials after functional endoscopic sinus sur?gery(FESS). Methods Totally 80 patients(47 males and 33 females,median age of 43 years)with bilateral chronic sinusitis who underwent en?doscopic surgery under general anesthesia were randomly divided into two groups,each group with 40 patients. The hemostatic sponge group used he?mostatic sponge for postoperative nasal packing and the hemostatic catheter group used double silicone balloon catheter plus medical sponge. Patients were observed for postoperative pain,ventilation and bleeding after packing removal to evaluate efficacy. Results Double silicone balloon catheter was superior to hemostatic sponge in ventilation maintenance(mean scores:78.8 vs 2.32)and pain relief(mean scores:0 vs 5.26),the difference was statistically significant(P<0.05). Moreover,double silicone balloon catheter was also superior to hemostatic sponge regarding to nasal bleeding after packing removal. Conclusion Double silicone balloon catheter is a preferable material for nasal packing after endoscopic surgery,which has reliable hemostatic effect and can better maintain the nasal ventilation,reduce pain in patients,and improve the patient's quality of life during treat?ment.