The effect of different types of nasal tamponades in patients with nasal bleeding on mucociliary transport of the mucous membrane
| Autor: | Nataliia Bychkova |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Journal of V. N. Karazin Kharkiv National University: Series Medicine, Vol 43, Pp 24-29 (2021) |
| Druh dokumentu: | article |
| ISSN: | 2313-6693 2313-2396 |
| DOI: | 10.26565/2313-6693-2021-43-03 |
| Popis: | Introduction. The number of patients with nasal bleedings (NB) remains quite high (14.7–20.5 %) among all patients in need of emergency ENT care. When using anticoagulants and disaggregants, the risk of developing hemorrhagic complications is always higher. Otorhinolaryngologists have been improving the methods of stopping NC for many years. Objective: a comparative study of the effect of different types of nasal tamponade on mucociliary transport (MCT) of the nasal mucosa in patients with NB on the background of antithrombotic therapy. Materials and methods. The effect of different types of nasal tamponade on MCT of the nasal mucosa in 156 patients with NC who developed on the background of antithrombotic therapy was studied. All patients were divided into two groups: the main (104 patients), in which NB cessation was performed by the combined method, which includes the use of a two-chamber hydraulic tampon of our own design in combination with Nosochem gel and thermal exposure, and the control group (52 patients), where the classic gauze tamponade was used. The criterion for assessing the functional state of the nasal mucosa was the time of MCT when performing the saccharin test. Results. Immediately after removal of tampons, a significant acceleration of the MCT rate was observed in patients of both groups in comparison with the conditional norm. On day 3 after tampon removal, a significant decrease in the rate of MCT was observed in both study groups, which was more significantly (p |
| Databáze: | Directory of Open Access Journals |
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