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目的:探讨Rhino凝胶止血材料在鼻腔、鼻窦术后及严重鼻出血的临床应用价值。方法:对传统的凡士林纱条和新型的凝胶止血材料进行鼻腔填塞的2组病例的临床资料进行回顾性分析,并对2种填塞方法在填塞期和抽取时患者的鼻腔疼痛和(或)头痛,控制出血的有效性和抽取填塞物的难易程度进行比较。结果:Rhino组在填塞期和抽取时患者鼻腔疼痛和(或)头痛比凡士林组轻(P<0 .01和P<0 .05)。填塞期24h出血量差异无统计学意义(P>0 .05) ,但在抽取时出血量差异有统计学意义(P<0 .01) ,抽取填塞物时,Rhino组比凡士林纱条组容易(P<0 .01)。结论:Rhino具有药物止血和压迫止血双重功能,是一种理想的鼻腔填塞物。
Objective: To investigate the clinical value of rhino gel hemostatic materials in nasal and sinus surgery and severe epistaxis. Methods: The clinical data of two groups of patients with nasal packing of traditional Vaseline gauze and new gel hemostatic material were retrospectively analyzed. The nasal cavity pain and / Headache, the effectiveness of bleeding control, and the ease with which the stuffing is drawn. RESULTS: Patients in the Rhino group had less nasal pain and / or headache than vaseline at the time of filling and aspiration (P <.01 and P <0.05). There was no significant difference in the amount of hemorrhage in 24 hours of stuffing (P> 0.05), but there was a significant difference in the amount of bleeding when taking stuffing (P <0 .01). When the stuffing was taken, Rhino group was easier than Vaseline (P <0 .01). Conclusion: Rhino has the dual function of hemostasis and oppression and hemostasis, and is an ideal nasal packing.