鼻内镜下云南白药棉片前鼻孔填塞术在儿童顽固性鼻出血中的应用

摘要/Abstract

摘要： 目的探讨与分析鼻内镜下云南白药棉片前鼻孔填塞术在儿童顽固性鼻出血（Intractable Epistaxis）中的应用价值。方法选取2022年1月—2023年1月在石嘴山市中医医院进行就诊的89例顽固性鼻出血患儿作为研究对象,根据随机掷硬币原则把患儿分为白药组（45例）与对照组（44例）。给予所有患儿鼻内镜手术治疗,给予对照组患儿红霉素棉片前鼻孔填塞术治疗,给予白药组患儿云南白药棉片前鼻孔填塞术治疗,观察与记录白药组与对照组患儿的治疗效果。结果治疗后1个月白药组的总有效率为97.78%,与对照组的81.82%相比,,差异有统计学意义（P<0.05）。白药组患者的黏膜充血水肿患者消散时间、鼻出血次数、鼻出血时间、鼻出血量与对照组相比都显著减少,差异有统计学意义（P<0.05）。白药组患者治疗1个月后的鼻内镜分级多为1级与2级,对照组多为2级与3级,组间对比差异有统计学意义（P<0.05）。白药组与对照组治疗后1个月的鼻腔纤毛传输速度都明显高于治疗前,白药组治疗后1个月的鼻腔纤毛传输速度与对照组相比也显著提高,差异有统计学意义（P<0.05）。结论鼻内镜下云南白药棉片前鼻孔填塞术在儿童顽固性鼻出血中的应用能明显减轻临床症状,提高患儿的治疗效果,还可改善患儿的鼻内镜分级状况,加快鼻腔纤毛传输速度。

关键词: 鼻内镜, 云南白药棉, 前鼻孔填塞术, 顽固性鼻出血, 鼻腔纤毛传输速度

Abstract: Objective To explore and analysis the application values of Yunnan Baiyao cotton patch under nasal endoscope in the treatment of intractable epistaxis in children. Methods From January 2022 to January 2023, 89 children with intractable epistaxis who were treated in the Otolaryngology department of Shizuishan Hospital of Traditional Chinese Medicine were selected as the study subjects. Accorded to the principle of randomly flipping coins, the children were divided into white medicine group (45 cases) and control group (44 cases). All children were treated with endoscopic surgery. The control group were treated with erythromycin cotton tamponade, and the Baiyao group were treated with Yunnan Baiyao cotton tamponade. The therapeutic effects of the two groups were observed and recorded. Results One month after treatment, the total effective rate of the Baiyao group were 97.78%, which were significantly higher than that of the control group (81.82%, P<0.05). The time of dissipation, number of epistaxis, time, and volume of nosebleed were significantly reduced compared with the control group (P<0.05). At one month after treatment, the nasal endoscopic grading of the Baiyao group were mostly grade 1 and grade 2, while that of the control group were mostly grade 2 and grade 3. There were significant differences between the two groups (P<0.05). The nasal cilia transmission speed of the two groups after 1 month of treatment were significantly higher than that before treatment (P<0.05), and the nasal cilia transmission speed of the Baiyao group after 1 month of treatment were also significantly higher than that of the control group (P<0.05). Conclusion The application of Yunnan white powder cotton patch in children can significantly reduce clinical symptoms, improve the treatment effect of patients, improve the classification of nasal endoscopy in children, and speed up the transmission speed of nasal cilia.

Key words: nasal endoscope, Yunnan Baiyao cotton, anterior nasal packing, intractable epistaxis, nasal cilia transport velocity

中图分类号:

R765.23

刘晓龙, 夏英. 鼻内镜下云南白药棉片前鼻孔填塞术在儿童顽固性鼻出血中的应用[J]. 中华养生保健, 2024, 42(1): 172-175.

LIU Xiao-long, XIA Ying. The Application of Yunnan Baiyao Cotton Tamponade under Nasal Endoscope in Children with Intractable Epistaxis[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(1): 172-175.

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