鼓室成形术后外耳道碘仿纱条和纳吸棉填塞的比较

陈丹萍;傅敏;黄丽芳;黄惠娥;崔勇;

1:广东省佛山市第一人民医院(中山医科大学附属佛山医院)

2:广东省人民医院(广东省医学科学院)

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25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(05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(09分),纳吸棉组为1.03±0.71分(09分),纳吸棉组为1.03±0.71分(03分),前组高于后组,差异有统计学意义(Z=-5.781,P<0.001)。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,P<0.001)。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。
关键词
外耳道;填塞;疼痛;出血
基金项目(Foundation):
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
作者
陈丹萍;傅敏;黄丽芳;黄惠娥;崔勇;
参考文献

1 Zeitoun H,Sandhu GS,Kuo M,et al.A randomized prospective trial to compare four different ear packs following permeatal middle ear surgery[J].The Journal of Laryngology and Otology,1998,112:140.

2 Huang G,Chen X,Jiang H.Effects of Nasopore packing in the middle ear cavity of the guinea pig.[J]Otolaryngology--head and Neck Surgery,2011,145:131.

3 Kastl KG,Reichert M,Scheithauer MO,et al.Patient comfort following FESS and Nasopore(R)packing,a double blind,prospective,randomized trial[J]Rhinology,2014,52:60.

4 Gencer ZK,Ozkiris M,Gencer M,et al.Comparison of ropivacaine,bupivacaine,prilocaine,and lidocaine in the management of pain and hemorrhage during nasal pack removal[J].American Journal of Rhinology&Allergy,2013,27:423.

5 Hirvonen TP.How we do it:stapes surgery without postoperative packing of the external auditory canal[J].Clinical Otolaryngology,2005,30:205.

6 Ashraf N,Capper R.Should we still be using bismuth iodoform paraffin paste-impregnated gauze as an ear canal dressing following ear surgery[J]?Clinical Otolaryngology,2013,38:357.

7 Coulson CJ,Pothier DD,Lai P,et al.Bismuth iodoform paraffin paste hypersensitivity reactions in mastoid cavities following isolation of mucosal lining:a series of 587patients[J].The Journal of Laryngology and Otology,2012,126:240.

8 Araki K,Hirakawa N,Kosugi T,et al.Iodoform intoxication:a case report of prolonged consciousness disturbance in a patient with a high plasma iodine level[J].Fukuoka Igaku Zasshi,2007,98:397.

9 Wang YP,Wang MC,Chen YC,et al.The effects of Vaseline gauze strip,Merocel,and Nasopore on the formation of synechiae and excessive granulation tissue in the middle meatus and the incidence of major postoperative bleeding after endoscopic sinus surgery[J].Journal of the Chinese Medical Association,2011,74:16.

本文信息

PDF(83K)

本文关键词相关文章

外耳道填塞疼痛出血