慢性鼻-鼻窦炎术后术腔填塞盐酸罗哌卡因高膨胀止血棉缓解鼻部疼痛的疗效观察
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崔哲洙,Email:cuizz2008@sina.com


Effect of Merocel polymer hemostatic expansion material injecting with ropivacaine hydrochloride in relieving postoperative pain in chronic rhinosinusitis
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    摘要:

    摘要:目的探讨慢性鼻-鼻窦炎手术后鼻腔内填塞注入盐酸罗哌卡因的高膨胀止血棉(Merocel)缓解疼痛的疗效。方法选择慢性鼻-鼻窦炎患者68例术后鼻腔内填塞注入盐酸罗哌卡因的高膨胀止血棉作为观察组。同期手术的慢性鼻-鼻窦炎患者38例,术后鼻腔内填塞注入生理盐水的高膨胀止血棉作为对照组。术后疼痛分成鼻部疼痛、门齿疼痛、额部疼痛及整体疼痛4个症状,并且在术后第1天与第2天利用视觉模拟评分法(visual analogue scale,VAS)对手术后疼痛程度进行评分,并对两组进行比较。 结果观察组患者术后疼痛均有不同程度地缓解,特别是鼻部疼痛及总体疼痛明显比对照组轻(P<0.01)。结论慢性鼻-鼻窦炎术后高膨胀止血棉内注入盐酸罗哌卡因填塞鼻腔可以明显缓解术后鼻部疼痛。

    Abstract:

    Abstract:ObjectiveTo evaluate the effect of Merocel polymer hemostatic expansion material injecting with ropivacaine hydrochloride in relieving postoperative pain in chronic rhinosinusitis(CRS).Methods68 patients who received nasal packing with Merocel polymer hemostatic expansion material injecting with ropivacaine hydrochloride after surgery of CRS were chosen as observation group. Meanwhile, 38 cases with nasal packing by Merocel injecting with normal saline were selected as control. The postoperative pain was classified as nasal pain, incisors pain, forehead pain, and general malaise. Their degrees were scored with visual analogue scale (VAS). The postoperative pains of both groups on the first and second day after surgery were evaluated and compared.ResultsCompared with the control group, the postoperative pain of the observation group got reduced in different degree, especially the nasal pain and general malaise (all P<0.01).ConclusionNasal packing by Merocel injecting with ropivacaine hydrochloride is effective in reducing the pain after CRS surgery.

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黄淑新,崔哲洙,吴俊,靳佳慧,金玉莲.慢性鼻-鼻窦炎术后术腔填塞盐酸罗哌卡因高膨胀止血棉缓解鼻部疼痛的疗效观察[J].中国耳鼻咽喉颅底外科杂志,2018,24(1):70-72

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  • 在线发布日期: 2018-02-28
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