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1、五种鼻内窥镜防雾液的选择及效果观察【摘要】目的比较观察热水、75%酒精、1%软皂液、2.5%新洁尔灭和进口防雾油作为鼻内窥镜手术防雾材料的效果。方法150例慢性鼻窦炎鼻息肉病人，随机分成5组：热水组30例，75%酒精组30例，1%软皂液组30例，2.5%新洁尔灭组30例，进口防雾油组30例，手术时分别用50℃～60℃热水、75%酒精、1%软皂液、2.5%新洁尔灭和进口防雾油作防雾材料，分别记录防雾有效时间、镜面清晰度、刺激性及清除血污效果。结果防雾有效时间2.5%的新洁尔灭和进口防雾油优于75%酒精、1%软皂液和
2、热水(P<0.05)；镜面清晰度五者差异无显著性(P>0.05)；刺激性75%的酒精明显强于其他四者(P<0.01)；清除血污能力2.5%新洁尔灭最好（P<0.01）。结论2.5%的新洁尔灭是一种价廉物美的、理想的鼻内窥镜手术防雾材料,值得临床推广。【关键词】鼻内窥镜手术；新洁尔灭；防雾材料Theselectionandcurativeeffectobservationoffivesinusendoscopyanti-mistliquids10【Abstract】ObjectiveComp
3、aringandobservingtheeffectofusingofhotwater,75%alcohol,1%softsoapyliquids,2.5%bromo-geraminumandimportanti-mistoilascomponentsofsinusendoscopyanti-mistmaterials.MethodsFrom150casesofchronicsinusitisnasalpolypspatients,randomlydividetheminto5groups;take30cases
4、asahot-watersamplegroup,takeanother30sasa75%alcoholsamplegroup,take30sas1%softsoapyliquidsamplegroup,take30sasanti-mistoilsamplegroupandtherestof30sas2.5%bromo-geraminumsamplegroup.Duringoperation,use50℃-60℃hotwater,75%alcohol,1%softsoapyliquid,2.5%bromo-gram
5、inumandimportanti-mistoilrespectivelyasmaterialsfortheanti-mistliquid，andrecordtheeffectivetime,mirrordefinition,effectonbloodinesseliminationandtheirritatinglevelofeachrespectively.ResultsIntermsoftheanti-misteffectivetime，the2.5%bromo-geraminumandimportanti
6、-mistoilhadbetterperformanceoverthe75%alcohol、1%softsoapyliquidandhotwater(P<0.05);noobviousdifferencecanbefoundintermsofthemirrordefinitionamongthesefivematerials(P>0,05);inthetermsofirritationthe75%alcoholwasthemostdistinct10comparedwiththeotherfour(P
7、<0.01);andasfarastheeffectonbloodinesseliminationconcerned,the2.5%bromo-geraminumperformedthebest(P<0.01).ConclusionThe2.5%Bromo-Geraminumisregardedasabetterperformance,lowerpricedidealchoiceforsinusendoscopicsurgeryanti-mistmaterial,isworthyforclinical
8、recommendation.【Keywords】sinusendoscopicsurgery；bromo-geraminum；anti-mistmaterial鼻内窥镜手术自20世纪90年代在我国大中城市快速普及以来,目前已在全国各级医院全面开展。有关基础和临床研究的成果不断涌现，但作为鼻内窥镜防雾材料选择的报道少见。我科自1997年开展该项手术以来，先后采用热水、75
