[1]刘俊秀,金兴,丁玉静,等.功能性鼻窦内镜手术后不同换药方案对疼痛和LundKennedy评分影响的比较研究[J].中国微创外科杂志,2018,18(3):249-251.
　Liu Junxiu,Jin Xing,Ding Yujing,et al.Comparative Study on Effects of Different Postoperative Debridements on Pain and Lund-Kennedy Scores After Functional Endoscopic Sinus Surgery[J].Chinese Journal of Minimally Invasive Surgery,2018,18(3):249-251.
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功能性鼻窦内镜手术后不同换药方案对疼痛和LundKennedy评分影响的比较研究()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年3期
页码:
249-251
栏目:
临床研究
出版日期:
2018-05-01

文章信息/Info

Title:
Comparative Study on Effects of Different Postoperative Debridements on Pain and Lund-Kennedy Scores After Functional Endoscopic Sinus Surgery
作者:
刘俊秀; 金兴; 丁玉静; 李涛; 于辉; 朱丽**
北京大学第三医院耳鼻喉科，北京100191
Author(s):
Liu Junxiu;  Jin Xing;  Ding Yujing;  et al.
Department of Otolaryngology, Peking University Third Hospital, Beijing 100191, China
关键词:
慢性鼻-鼻窦炎; 功能性鼻窦内镜手术; 术后换药
Keywords:
Chronic rhinosinusitis; Functional sinus endoscopic surgery; Postoperative debridements
文献标志码:
A
摘要:
目的探讨功能性鼻窦内镜手术（functional endoscopic sinus surgery，FESS）治疗慢性鼻-鼻窦炎术后换药的时机和频率。方法回顾性分析我科2014年5月~2015年12月175例慢性鼻-鼻窦炎行FESS的临床资料，根据术后首次换药时间分成术后第1周换药组（n=45），术后第2周换药组（n=50），术后第3周换药组（n=40）和术后第4周组（n=40）；按换药频率分为每2周换药一次组（n=76）和每1个月换药一次组（n=99）。通过视觉模拟量表（Visual Analogue Scale，VAS）和鼻内镜LundKennedy评分对术后换药时机和频率进行主客观评估。结果术后首次换药时间不同的4组患者疼痛VAS 评分分别为（7.5±1.9）、（5.2±1.3）、（4.7±1.0）、（4.4±1.6）分，差异有统计学意义(F=38.72,P=0.000)，两两比较显示术后第1周换药组与另外3组比较差异有统计学意义(P<005)，术后第2周换药组与术后第4周换药组比较有统计学意义(P<0.05)，但术后第2周换药组与术后第3周换药组和术后第3周换药组与术后第4周换药组比较差异均无统计学意义(P＞0.05)。每2周换药一次组和每1个月换药一次组术后1、3、6个月鼻内镜LundKennedy评分差异无统计学意义(P＞005)。结论FESS术后第2周适宜进行首次换药，此后每1个月换药1次。
Abstract:
ObjectiveTo investigate the timing and frequency of postoperative debridements after functional endoscopic sinus surgery (FESS) in patients with chronic rhinosinusitis.MethodsClinical data of 175 cases of chronic rhinosinusitis in our department were retrospectively analyzed. According to the time to first postoperative debridements, the patients were divided into the first week group (n=45), second week group (n=50), third week group (n=40), and fourth week group (n=40). On the basis of frequency of postoperative debridements, they were divided into either two weekly group (n=76) or monthly group (n=99). By using the visual analogue scales (VAS) and nasal endoscopic LundKennedy scores, the timing and frequency of postoperative debridements after FESS were evaluated subjectively and objectively.ResultsThe VAS scores of the patients in the four groups were (7.5±1.9), (5.2±1.3), (4.7±1.0), and (4.4±1.6) points, respectively, with statistically significant difference among the four groups (F=38.72, P=0.000). Pairwise comparisons showed that there were significant differences between the first week group and other three groups (P<0.05), as well as between the second week group and the fourth week group (P<0.05), and there were not significant differences between the second week group and the third week group as well as between the third week group and the fourth week group (P>0.05). The LundKennedy scores at the postoperative 1, 3, and 6month had no statistically significant differences between the two weekly group and the monthly group (P>0.05).ConclusionThe second week is suitable for the first postoperative debridements after FESS, followed with every one month interval.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：北京大学第三医院临床重点项目（BYSY2015006）**通讯作者，E-mail:handsome9059@sina.com
更新日期/Last Update: 2018-05-10