| 引用本文:侯春丽.云南白药粉创面涂抹联合止血填塞用于鼻内镜微创术后的效果探讨[J].世界中医药,2016,(03):. |
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| 云南白药粉创面涂抹联合止血填塞用于鼻内镜微创术后的效果探讨 |
| Explore the effect of Yunnan Baiyao Powder joint hemostasia packing is used to endoscopic minimally invasive surgery |
| 投稿时间：2016-01-15 |
| DOI：10.3969/j.issn.1673-7202.2016.03.017 |
| 中文关键词: 云南白药粉 创面涂抹 止血填塞 鼻内镜 |
| English Keywords:Yunnan Baiyao Powder Wound smear Hemostatic packing Nasal endoscope |
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| 中文摘要: |
| 目的：研究云南白药粉创面涂抹联合止血填塞在鼻内镜微创术患者术后的应用效果。方法：选择2015月1月至12月在我院接受鼻内镜微创手术的160例患者。用随机数表法分为2组，每组各80例，对照组患者给予医用PVA海绵填塞鼻腔，实验组患者在对照组的基础上用云南白药涂抹创面。比较2组患者的总有效率、疼痛程度、鼻黏膜肿胀程度和不良反应。结果：实验组患者的总有效率为88.75%，对照组患者的总有效率为80.00%，差异有统计学意义（P<0.05）。实验组患者正常和轻度疼痛的人数多于对照组，中度和重度疼痛的人数少于对照组，差异有统计学意义（P<0.05）。实验组患者鼻黏膜轻度肿胀的人数多于对照组，中度和重度鼻黏膜肿胀的人数少于对照组，差异有统计学意义（P<0.05）。实验组患者头痛、鼻胀痛、鼻中隔血肿、中鼻甲粘连等并发症的发病率明显低于对照组，差异有统计学意义（P<0.05）。结论：鼻内镜微创术后应用云南白药粉创面涂抹联合止血填塞可以明显减少患者的出血量，减轻疼痛程度和鼻黏膜肿胀程度，不良反应较少。 |
| English Summary: |
| To study the effect of Yunnan Baiyao Powder joint hemostasia packing is used to endoscopic minimally invasive surgery.Methods:160 patients with nasal endoscopic minimally invasive surgery were selected in our hospital from January to December in 2015.They were divided in two groups with the random number table method，each group had 80 cases，the control group were treated with medical PVA sponge nasal packing，the experimental group used Yunnan Baiyao Powder daube wound on the basis of the control group.Compared two groups of the total effective rate，the degree of pain，the degree of nasal mucosal swelling and adverse reaction.Results:The total effective rate of the experimental group was 88.75%，and the total effective rate of the control group was 80%，the difference had statistical significance(P<0.05).The number of patients with normal and mild pain in the experimental group than in the control group，the number of moderate and severe pain was less than the control group，the difference had statistical significance(P<0.05).The number of mild swelling of nasal mucosa in experimental group was more than that in control group，the number of moderate and severe nasal mucosal swelling was less than that of control group，and the difference had statistical significance(P<0.05).Patients in the experimental group were headache，nasal distending pain，hematoma of nasal septum and middle turbinate adhesion，complication incidence was significantly lower than that in the control group，and the difference had statistical significance(P<0.05).Conclusion:Yunnan Baiyao Powder joint hemostasia packing is used to endoscopic minimally invasive surgery smear tamponade can obviously reduce the patient’s blood loss，alleviate pain degree and nasal mucosa swelling degree，less adverse reaction. |
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