Analysis of effect of endoscopic electrocoagulation combined with nasal micro packing in the treatment of intractable epistaxis
10.3760/cma.j.issn.1008-6706.2018.03.016
- VernacularTitle:耳内镜下电凝止血联合鼻腔微填塞治疗难治性鼻出血的效果分析
- Author:
Wenxing PEI
1
;
Jiangong LIU
;
Xiaoyu ZHAO
;
Fang HE
;
Bingwu ZHANG
Author Information
1. 山西大同大学附属医院耳鼻喉科
- Keywords:
Epistaxis;
Embolization,therapeutic;
Electrocoagulation;
Hemostasis,endoscopic
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(3):329-332
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of the endoscopic electrocoagulation combined with nasal micro packing in the treatment of refractory epistaxis .Methods 120 patients with refractory epistaxis were selected as the research subjects ,and they were divided into two groups by the single blind randomly methods ,60 cases in each group.The control group was given vaseline gauze for hemostasis of nasal cavity ,and the observation group received endoscopic electrocoagulation combined with nasal packing hemostasis micro treatment .The cure rate ,the incidence of complications ,recovery of nasal mucosa of nasal ventilation time , recovery time , the total amount of bleeding , pain score and recurrence rate of the two groups were compared .Results The cure rate in the observation group was 96.67％,which was significantly higher than 81.67％ in the control group(χ2 =6.988,P<0.05).The incidence rate of complications and pain score in the observation group were 8.33％,(3.65 ±1.09)points,respectively,which were significantly lower than 21.67％,(5.23 ±1.72) points in the control group (χ2 =4.183,t =6.010,all P<0.05).The total amount of bleeding significantly reduced (t=6.344,P<0.05),the recovery of nasal ventilation time and recovery time of nasal mucosa significantly decreased (t=7.119,6.183,all P<0.05).The patients were followed up for 6 months,the recurrence rate in the observation group was 1.67％,which was significantly lower than 11.67％in the control group(χ2 =4.821,P<0.05).Conclusion The endoscopic electric coagulation combined with nasal micro packing in the treatment of refractory epistaxis has significant effect ,it can effectively promote the recovery of patients,reduce complications and recurrence ,the prognosis is good .
