Clinical Data Of 311 Cases With Epistaxis Were Analyzed Retrospectively

Objective:To retrospectively analyze the clinical records of patients with nosebleed in the first affiliated hospital of guangzhou university of traditional Chinese medicine from January 2016 to January 2019,explore the clinical characteristics,etiological composition,syndrome differentiation and classification of nosebleed,and summarize the main treatment methods and efficacy,so as to provide reference for the clinical diagnosis and treatment of nosebleed.Methods:Clinical data of patients admitted to the first affiliated hospital of guangzhou university of traditional Chinese medicine from January 2016 to January 2019 were collected through jiahe electronic medical record system and doctor’ s advice system in our hospital,and 311 cases were summarized according to inclusion and exclusion criteria for retrospective study.To explore the gender,age,inducement and main clinical manifestations of patients with rhinorrhagia,analyze the etiological composition of patients with rhinorrhagia,age characteristics of common causes,and the situation of rhinorrhagia caused by different causes,and summarize the common clinical syndrome differentiation,treatment methods and efficacy of patients with rhinorrhagia.Results:A total of 311 cases were included in this study,of which 97 cases(31.2%)were female and 214 cases(68.8%)were male.The mean age of the included patients was 49.77 17.20 years,that of the male was 49.60 16.35 years,and that of the female was 50.12 19.02 years.There were 192 cases of bleeding without obvious inducement,including 30 cases of external sensation,16 cases of nose picking,12 cases of fatigue and 10 cases of eating hot and dry food.Autumn had the most cases and summer the least.The mean length of stay was 6.57 2.04 days.The results of nasal endoscopy mainly included 153 cases of hemangioma,104 cases of nasal mucosal erosion of varying degrees,26 cases of nasal septum deviation and spinous process,26 cases of nasal cavity and nasopharyngeal masses,and 2 cases of poor wound healing after surgery.There were 284 cases of unilateral and 27 cases of bilateral epistaxis.The bleeding sites included septum in 150 cases,olfactory cleft area in 35 cases,inferior turbinate in 25 cases,inferior nasal tract in 22 cases,middle nasal tract and middle turbinate in 11 cases,nasopharynx in 10 cases,and no obvious bleeding point in 35 cases.There were 37 cases of lung syndrome of wind-heat,79 cases of stomach syndrome of heat and heat,28 cases of liver-fire syndrome,12 cases of hyperthermia,24 cases of deficiency fire syndrome,127 cases of qi not absorbing blood,and 4 cases of qi stagnation and blood stasis.In 199 cases,the total effective rate was 48.8%.The total effective rate was95.8%.The effective rate of nasal bleeding treated by endoscopic burning was significantly higher than that of nasal packing group(p<0.05).Conclusions:1.The majority of patients with nasorrhagia are middle-aged and elderly patients.The number of male patients is more than that of female patients,and the number of unilateral patients is more than that of bilateralpatients.Inducement basically is cold,traumatic reach dig nose,knead the undesirable life habit such as the nose.2.The causes of epistaxis are mainly divided into local factors and systemic factors,which are mainly related to nasal diseases such as nasal septum deviation,nasal mass and systemic diseases such as hypertension.It happens in autumn and winter.3.The most common cases of nosebleed are the ritter’ s area of the nasal septum,the anterior end of the nasal septum,and the olfactory cleft area.The nasal septum anterior end and ritter’ s area were more commmon in adolescent patients,and the nasal septum posterior end and olfactory cleft area were more common in middle-aged and elderly patients.4.The inpatients with nosebleed mainly have the syndromes of qi not absorbing blood,stomach fire burning,and lung heat by wind.5.Nasal bleeding is best diagnosed and treated by nasal endoscopy,nasal packing and burning are common and effective methods,and combined with TCM syndrome differentiation therapy.