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目的:探讨鼻内镜下治疗难治性鼻出血的临床应用价值。方法:选择2007年3月至2011年5月间于我院诊治的难治性鼻出血患者76例,根据随机原则分为观察组和对照组,观察组患者行鼻内镜检查及鼻内镜辅助下低温射频和局部填塞止血,对照组患者行常规性后鼻孔填塞法。比较两组患者疗效、术中和术后VAS评分、治疗后血压水平。结果:①观察组患者治愈率明显高于对照组,无效率明显低于对照组,两者间均有统计学差异(P<0.05)。②观察组患者术中及术后VAS评分均明显低于对照组,两者间均有统计学差异(P<0.05)。观察组患者术后收缩压及舒张压均明显低于对照组(P<0.05)。结论:鼻内镜下治疗难治性鼻出血疗效好,不良反应少,具有较高的临床应用价值。
Objective: To explore the clinical value of endoscopic treatment of intractable epistaxis. Methods: Seventy-six patients with intractable epistaxis who were diagnosed and treated in our hospital from March 2007 to May 2011 were divided into observation group and control group according to the principle of randomization. Patients in observation group underwent endoscopic examination and endoscopic Assisted by low-temperature radio-frequency and local bleeding, the control group patients underwent routine post-nostril packing. The curative effect, intraoperative and postoperative VAS score, blood pressure level after treatment were compared between the two groups. Results: ① The cure rate of the observation group was significantly higher than that of the control group, the inefficiency was significantly lower than that of the control group (P <0.05). ② The VAS scores in the observation group were significantly lower than those in the control group during operation and postoperatively, both of which were significantly different (P <0.05). Postoperative systolic and diastolic blood pressures in observation group were significantly lower than those in control group (P <0.05). Conclusion: Endoscopic treatment of intractable epistaxis has good curative effect and few adverse reactions, which has a high clinical value.