The Curative Effect Observation Of Nasal Cavity Filling Composite Material For Chronic Nasal Sinusitis

Objective: by comparing the collagen sponge and fluticasonepropionate (auxiliary ShuLiang) and dilation and hemostatic spongetamponade after endoscopic sinus surgery, the effect of the collagensponge and fluticasone propionate to fill the role of the curative effect ofsinus surgery, nasal endoscopic surgery for cavity filling to provide moreoptions. Methods: in June2010to June2013in our department in thehospital,152cases of patients with chronic sinusitis, randomly dividedinto2groups: group A (control group): normal expansion spongetamponade group (n=76); Group B (experimental group): collagensponge and fluticasone propionate (n=76). Two groups were performedendoscopic sinus surgery, postoperative expansion hemostatic sponge andcollagen sponges were used respectively to and fluticasone propionatetamponade, expansion sponge group48hours but the stuffing, collagensponge and fluticasone propionate does not need to remove. Don’t docavity clean, within1weeks after3days began to be saline flushing nasalcavity,2times daily, in patients with postoperative nasal to observe howmuch pain, nasal bleeding index. Postoperative regularly review andclean up the cavity to the college. All cases of perioperative acceptreasonable medication, including antibiotics, promoting agent, nasalmucus, rinses, etc. Observation, cavity epithelium process and auxiliary ShuLiang security. Statistical processing, in order to compare two sets ofresults are obtained. Results: the collagen sponge and fluticasonepropionate filling degree of postoperative pain and expansion spongegroup difference was statistically significant, collagen sponge andfluticasone propionate tamponade group pain degree is lighter. Twogroups of postoperative bleeding is no statistically significant difference.Postoperative epithelial time comparison difference of two groups havestatistical significance, and collagen sponge and fluticasone propionatetamponade group was shorter. Conclusions: collagen sponge andfluticasone propionate tamponade can more effectively relievepostoperative pain patients, high comfort, systemic symptom is light,does not increase bleeding, cavity epithelial change fast, non-toxic sideeffects and adverse reactions, which is a kind of novel stuffing.