目的 探讨曲安奈德明胶海绵填塞对慢性鼻窦炎鼻息肉鼻内镜手术后患者的应用效果。方法 回顾性分析2016年4月—2018年10月期间接受慢性鼻窦炎鼻息肉鼻内镜手术治疗的86例患者的临床资料,依据术后处理方式的不同,分为对照组(常规处理,43例)与观察组(曲安奈德明胶海绵填塞,43例)。比较两组治疗效果、出血量、清理时间与治疗后1 h疼痛程度、术后不良反应(P＜0.05)。结果 观察组患者治疗有效率为97.67%,高于对照组患者的81.40%,差异有统计学意义(P＜0.05)。观察组患者出血量少于对照组患者,清理时间短于对照组患者,差异有统计学意义(P＜0.05)。治疗后1 h,观察组患者疼痛程度低于对照组患者,差异有统计学意义(P＜0.05)。观察组患者术后不良反应发生率为2.33%,低于对照组患者的18.60%,差异有统计学意义(P＜0.05)。结论 慢性鼻窦炎鼻息肉鼻内镜手术后患者应用曲安奈德明胶海绵填塞,可有效减少出血量,缩减清理时间,且疼痛感相对较轻,具有一定安全性。

Objective To investigate the effect of triamcinolone gelatin sponge packing in patients with nasal endoscopic surgery for chronic sinusitis and nasal polyps.Methods The clinical data of 86 patients with nasal endoscopic surgery for chronic sinusitis and nasal polyps from April 2016 to October 2018 were retrospectively analyzed.They were divided into control group (conventional treatment, 43 cases) and observation group (triamcinolone gelatin sponge packing, 43 cases) according to postoperative treatment.The curative effects, bleeding volume, treatment time, pain degree after treatment for 1h, and postoperative adverse reactions were compared between the two groups.ResultsThe treatment effective rate of the observation group (97.67%) was higher than that of the control group (81.40%) (P<0.05).The bleeding volume and the treatment time of the observation group were less than those of the control group (P<0.05).After treatment for 1h, the pain degree of the observation group was lower than that of the control group (P<0.05).The incidence rate of postoperative adverse reactions in the observation group (2.33%) was lower than that in the control group (18.60%) (P<0.05).Conclusion Triamcinolone gelatin sponge packing for patients with nasal endoscopic surgery for chronic sinusitis and nasal polyps can reduce bleeding volume, shorten treatment time, and produce slight pain, which is relatively safe.