|
|
|
| Comparison of clinical effect and quality of life between different laser treatments of nasal bleeding under nasal endoscopy |
| LIU Yanwu |
| Jilin Provincial Corps Hospital of Chinese People’s Armed Police Force,Changchun 130052,China |
|
|
|
|
Abstract Objective To compare the clinical effect and quality of life of patients with nasal bleeding treated with CO2 laser and Nd∶YAG laser under nasal endoscopy in order to provide reference for related treatment.Methods 240 cases of epistaxis treated between March 2016 and February 2017 were selected. These patients were equally divided into the control group and the observation group according to the time of admission. The control group was treated with CO2 laser, while the observation group was treated with Nd∶YAG laser.The follow-up was 3 months. The operation indexes, short-term curative effect and prognosis of the two groups of patients were observed.Quality of life assessment (GQOLI-74) was used for evaluating the quality of life of patients.Results The duration of surgery and hemostasis in the observation group were shorter than those of the control group,the amount of pereoperative bleeding was smaller, so was the amount of nose bleeding,but the score of quality of life was higher than that of the control group, and the difference of the above indexes was statistically significant (P<0.05).The success rate of hemostasis in the observation group was 98.3%, higher than that of the control group (81.7%).The reduced rate of subjective olfaction 3 months after operation was 0.8%, much lower than that of the control group (10%), and the difference was statistically significant (P<0.05).Conclusions Compared with CO2 laser treatment under nasal endoscope, Nd YAG laser under a nasal endoscope can improve operative indexes, short-term curative effect, prognosis and quality of life, so it is worthy of wider application.
|
|
Received: 14 December 2017
|
|
|
|
|
|
| [1] |
尹中普. 鼻内镜下二氧化碳激光和Nd:YAG激光治疗鼻出血的比较研究[J]. 中国内镜杂志, 2015, 21(3):302-304.
|
| [2] |
Zhou Y, Zhou R, Li W, et al. Controlled trial of the effectiveness of community rehabilitation for patients with schizophrenia in Shanghai, China.[J]. Shanghai Arch Psychiatry, 2015,27(3):167-174.
|
| [3] |
刘建设, 钟 刚, 王彦君. 鼻内镜下治疗难治性鼻出血163例回顾性分析[J]. 临床耳鼻咽喉头颈外科杂志, 2013,27(11):590-592.
|
| [4] |
李景慧. 鼻内镜下中老年患者鼻出血的治疗[J]. 中国耳鼻咽喉头颈外科, 2014, 21(1):51-52.
|
| [5] |
郭丽萍, 王 东, 李同丽,等. 不同止血材料在功能性鼻内镜手术中填塞的效果:组织相容性比较[J]. 中国组织工程研究, 2015, 19(16):2588-2592.
|
| [6] |
徐明录, 秦顺朵. 介入栓塞手术与鼻内镜下电凝止血治疗鼻出血的临床疗效比较研究[J]. 现代预防医学, 2012, 39(7):1846-1847.
|
| [7] |
何国平, 杨盈坡, 皮庆梅,等. 鼻内镜下低温等离子治疗顽固性鼻出血患者的临床观察[J]. 中国内镜杂志, 2014, 20(9):997-998.
|
| [8] |
冯小宝, 宋国昶, 刘 杰. 鼻内镜下微波与激光治疗顽固性鼻出血的疗效对比[J]. 西南国防医药, 2017, 27(5):471-472.
|
|
|
|
2018, Vol. 29 
