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Clinical efficacy of absorbabie gelatin spongeasp attaches the White pharmaceuticals of YunNan following endoscopic sinus surgery

CHENG Bing-wen,HU Li-qun,XU Ping-mei.Department of Otorhinorygology of Wuyuan County People's Hospital of JiangXi province Wuyuan 333200,China  
Objective To compare the clinical benefits of absorbabile gelatin spongeasp attaches the White pharmaceuticals of YunNan with traditional packing material sorbalgan plus vaseline gauze prospectively.Methods Twenty-three patients with chronic sinusitis of similar grade were enrolled in the study.Aater endoscopic sinus surgery,the nasal cavities of each patient were packed with absorbabile gelatin spongeasp in the right side as observing group and sorbalgon plus Vaseline gauze in the left side as control group.sorbalgon plus Vaseline in the left nasal cavity was removed in the first day after operation and absorbabie gelatin spongeasp attaches the White pharmaceuticals of YunNan remained in the right nasal cavity until the first endoscopic follow-up 1 week postoperatively.The same perioperative treatments snch as irrigation and local steroid were given in both sides of nasal cavities.The grade of rhinalgia,nasal obstruction,discharge,bleeding and epiphora in each side of nasal cavities were assessed on a visual analogue scale(VAS)by the patients at the operation day(packing period),the first day and the second day after operation respectively.Postoperative endoscopic assessment of nasal cavities including crust,discharge,pseudomembrane,edema of mucosa,bubble and ostium obstruction were carried out by a rhinologist on VAS at 1,2,3,4,6,8,weeks postoperatively.The follow-up continued the complete mucosal healing.Results The 0ther two were lost in the follow-up.Twenty-one patients completed the follow-up ranging between 2-20 months.The scores of rhinalalgia,epiphora at the operation day and the rhinalgia at the amount of crust at the first week after operation in absorbabile gelatin spongeasp attaches the White pharmaceuticals of YunNan side were lower than sorbalgan plus vaseline gauze side(P0.05).The scores of the amount of crust at the first week after operation in absorbabile gelatin spongeasp attaches the White pharmaceuticals of YunNan side were lower than sorbalgan plus vaseline gauze side(P0.05).The averge epitheliun of abserving group were lower than control group.Statistically,significant deference was found between the two group.Conclusion Patients felt more comfortable with the package of absorbabile gelatin spongeasp attaches the White pharmaceuticals of YunNan than traditional material.No pain and secondary bleeding happened.The efficacy of absorbabie gelatin spongeasp attaches the Yannan white on mucosal healing was faster than traditional packing materials.
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