Effects of different nasal packing methods on the comfort of patients undergoing functional endoscopic sinus surgery
10.3760/cma.j.cn115682-20220120-00322
- VernacularTitle:不同鼻腔填塞方式对功能性鼻内镜手术患者舒适度的影响研究
- Author:
Wei LIU
1
;
Xiuya LI
;
Kezhen XIAO
;
Li LI
Author Information
1. 首都医科大学附属北京同仁医院护理部，北京 100730
- Keywords:
Functional endoscopic sinus surgery;
Nasal packing;
Comfort
- From:
Chinese Journal of Modern Nursing
2022;28(23):3185-3188
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of different nasal packing methods on the comfort of patients after operation.Methods:From January to August 2020, 216 patients with chronic sinusitis who were admitted to the Otolaryngology Head and Neck Surgery of Beijing Tongren Hospital by convenience sampling were selected as the research object. All patients underwent functional endoscopic sinus surgery under general anesthesia. According to the different nasal packing materials, the patients were divided into the nasopore packing group (132 cases) and the silicone drainage tube packing group (84 cases) . The patients were investigated with the Visual Analogue Scale (VAS) one day before operation and four hours after operation.Results:After functional endoscopic sinus surgery, the score of facial pain in the silicone drainage tube packing group was higher than that in the nasopore packing group, and the score for nasal congestion was lower than that in the nasopore packing group, with statistically significant differences ( P<0.05) . There were no significant differences in postoperative runny nose, hyposmia, headache, ear stuffiness and overall discomfort scores between the two groups ( P>0.05) . Conclusions:Attention should be paid to postoperative headache, hyposmia, and general discomfort in chronic sinusitis patients undergoing functional endoscopic sinus surgery and nasal packing. The head and face pain in patients with postoperative nasal packing with silicone drainage tube should be paid attention to, and the drainage tube should be kept unobstructed. Patients with nasopore packing should be focused on postoperative nasal congestion symptoms.
