鼓室成形术后外耳道碘仿纱条和纳吸棉填塞的比较

发布时间：2018-09-05 12:10

【摘要】：目的比较鼓室成形术中外耳道应用不同填塞材料术后取出时的疼痛与出血程度。方法 60例慢性中耳炎患者行鼓室成形术时,根据预先制定的随机表随机于患者的外耳道内分别填塞碘仿纱条(碘仿纱条组)或纳吸棉(纳吸棉组),每组30例。术后取出碘仿纱条或者吸除纳吸棉时,使用视觉模拟量表评估疼痛程度;并将出血程度分为3级:0分为无出血;1分为少量出血,无需特别处理即可自止;2分为出血需要肾上腺素棉条压迫2~5分钟;比较两组疼痛和出血程度。结果碘仿纱条组的疼痛得分平均为5.10±2.27分(0~9分),纳吸棉组为1.03±0.71分(0~3分),前组高于后组,差异有统计学意义(Z=-5.781,P0.001)。碘仿纱条组和纳吸棉组的出血程度评分分别为0.50±0.76和0.13±0.77分,前组高于后组,差异有统计学意义(χ2=17.719,P0.001)。结论鼓室成形术后外耳道填塞纳吸棉者取出时,患者的疼痛程度和出血程度均明显轻于填塞碘仿纱条者。
[Abstract]:Objective to compare the pain and bleeding of external auditory canal in tympanoplasty. Methods during tympanoplasty, 60 patients with chronic otitis media were randomly filled with iodoform gauze (iodoform gauze group) or absorbent cotton gauze group (30 cases in each group). When iodoform gauze was taken out or cotton absorbent after operation, visual analogue scale was used to evaluate the degree of pain, and the bleeding degree was divided into 3: 0, without bleeding and 1 as small amount of bleeding. No special treatment was required to divide the bleeding into two groups: epinephrine strips were used to compress the bleeding for 5 minutes. The pain and bleeding degree were compared between the two groups. Results the average score of pain was 5.10 卤2.27 (0-9) in iodoform gauze group and 1.03 卤0.71 (0-3) in cotton absorption group. The scores of bleeding degree of iodoform gauze group and cotton absorption group were 0.50 卤0.76 and 0.13 卤0.77, respectively. The former group was higher than the latter group, and the difference was statistically significant (蠂 ~ 2 ~ 2 ~ (17.719) P ~ (0.001). Conclusion after tympanoplasty, the degree of pain and bleeding in the patients with external ear canal filling and cotton suction were significantly less than those with iodoform gauze.
【作者单位】：广东省佛山市第一人民医院(中山医科大学附属佛山医院);广东省人民医院(广东省医学科学院);
【基金】：广东省企业技术研发与升级改造专项基金项目(2013B021800203) 广东省自然科学基金(2015A030313535)资助
【分类号】：R764.9

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