鼻内窥镜鼻窦手术后鼻腔气流和简易鼻气道(鼻)管的疼痛、安全性和成本评估

J. Rojo, Rachel Zita H. Ramos
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引用次数: 0

摘要

目的:比较鼻内窥镜鼻窦手术(ESS)治疗慢性鼻窦炎合并鼻息肉病(CRSwNP)后使用简易鼻导气管(鼻胃导管)与鼻腔填塞的主观鼻气流和总体疼痛评分(以及安全性和增加的成本)。方法:设计:准实验前瞻性队列研究环境:三级政府培训医院参与者:二十六(26)名年龄在18-77岁的连续CRSwNP患者接受ESS,其中除了鼻填充物之外还放置简易鼻气道(鼻胃)管,或者单独放置鼻填充物的13个对照组(B)。结果:在术后即刻,实验组(a)和对照组(B)的主观鼻气流存在显著差异,平均主观气流分别为8.07和0.00。在年龄、性别、息肉病的严重程度和总体疼痛评分方面,两组之间没有显著差异。两组患者术后及随访一周后均未发现出血、中毒性休克综合征、前庭或鼻翼损伤及间隔坏死等并发症。A组增加了PhP25的大致费用。结论:使用鼻胃导管的简易鼻气道在术后立即提供了充足的气流,而没有额外的疼痛。它使用安全,对于需要鼻气道支架的患者来说是一种负担得起的选择,这些患者居住在无法使用带内置管支架的预成型鼻填充物的区域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Nasal Airflow and Pain, Safety and Cost of an Improvised Nasal Airway (Nasogastric) Tube After Endoscopic Sinus Surgery
Objective: To compare subjective nasal airflow and overall pain score (as well as safety and added cost of ) using an improvised nasal airway tube (nasogastric tube) versus nasal packing after endoscopic sinus surgery (ESS) for chronic rhinosinusitis with nasal polyposis (CRSwNP). Methods: Design: Quasi Experimental Prospective Cohort Study Setting: Tertiary Government Training Hospital Participants: Twenty-six (26) consecutive patients aged 18 to 77 years old diagnosed with CRSwNP who underwent ESS were alternately assigned to an experimental group (A) of 13, where an improvised nasal airway (nasogastric) tube was placed in addition to the nasal pack or a control group (B) of 13 with nasal packing alone. Results: There was a significant difference in subjective nasal airflow between experimental (A) and control (B) groups during the immediate postoperative period where the mean subjective airflow was 8.07 and 0.00 over 10.00, respectively. No significant difference was noted between the groups in terms of age, gender, severity of polyposis and overall pain score. No complications such as bleeding, Toxic Shock Syndrome, vestibular or alar injury and septal necrosis were noted immediately post-op and after one week follow-up in both groups. An approximate cost of PhP 25 was added to group A. Conclusion: An improvised nasal airway using a nasogastric tube provides adequate airflow without additional pain in the immediate postoperative period. It is safe to use and an affordable option for patients in need of nasal airway stents residing in areas where a preformed nasal packing with incorporated tube stent is not available.
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