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目的:观察红光理疗对改善鼻中隔成形术后鼻中隔黏膜局部缺血状态的疗效。方法:对30例行鼻中隔成形术,术后发现鼻中隔黏膜局部缺血的患者,将其随机分成两组,一组为红光理疗组即实验组,另一组为常规治疗组即对照组。实验组每日先行鼻部红光理疗15分钟,然后以浸有重组人表皮生长因子及金霉素软骨的明胶海绵贴敷于鼻中隔缺血处黏膜;对照组则单纯给予后者治疗。观察两组鼻中隔黏膜恢复时间。结果:实验组患者鼻中隔黏膜平均恢复时间10±3天,对照组患者鼻中隔黏膜平均恢复时间14±3天,两组经统计学检验,p<0.0l,差异有显著性。结论:红光理疗可以明显促进鼻中隔成形术后鼻中隔黏膜缺血状态的恢复,有利于预防鼻中隔成形术后鼻中隔穿孔。
Objective: To observe the effect of red light therapy on the improvement of nasal septum mucosal ischemia after nasal septoplasty. Methods: Thirty patients undergoing nasal septoplasty and mucosal ischemia of the nasal septum were randomly divided into two groups: one is the red light therapy group, the other is the normal treatment group, ie, the control group. The experimental group was treated with nasal red light for 15 minutes daily, then applied with gelatin sponge soaked in recombinant human epidermal growth factor and chlortetracycline cartilage on the mucosa of ischemic mucosa of the nasal septum. The control group was treated with the latter only. Nasal septum mucosa recovery time was observed. Results: The mean recovery time of nasal septum mucosa was 10 ± 3 days in experimental group and 14 ± 3 days in control group. The statistical difference was significant between the two groups (p <0.01). CONCLUSION: Red light therapy can obviously promote the recovery of the mucosal ischemia after nasal septoplasty and prevent perforation of nasal septum after nasal septoplasty.