通氣管用於鼻填塞的初步經驗

Preliminary Experience of Ventilation Tube Insertion in Nasal Packing

黃仲鋒(Chung-Feng Hwang) ； 蘇志英(Chih-Ying Su)

《中華民國耳鼻喉科醫學會雜誌》 28卷2期 (1993/04) Pp. 106-110

https://doi.org/10.6286/1993.28.2.106

摘要

鼻填塞是耳鼻喉科醫師常使用的治療方法之一。但填塞方式往往造成病人呼吸不順、吞嚥不適、口乾、頭痛和失眠等症狀。本研究針對32例因鼻部手術須做鼻填塞的病人，在填塞之同時放入矽質通氣管，期使鼻腔能保持通暢。術後再進行各項主客觀的評估，包括：術後呼吸、睡眠情況、呼吸型態、塞住通氣管模擬一般鼻塞的情況、通氣管多久會塞住及Toynbee現象、口乾、頭痛等症狀的改善程度。著者發現放置通氣管後，可顯著改善病人於填塞期的各種不適感，也沒有其他併發症發生，放置的過程簡易，價格也比其他通氣管便宜，因此值得例行性使用於鼻部填塞患者。

關鍵字

鼻填塞 ； 通氣管 ； Toynbee現象

並列摘要

To a patient undergoing nasal surgery, nasal packing always has been an uncomfortable experience. It usually induces symptoms and signs of hypoventilation, dysphagia, Toynbee phenomenon, dry mouth, headache and insomnia, etc. The advantages of the insertion of the nasal ventilation tube were evaluated in 32 patients who underwent nasal surgeries and received nasal packings. Particular attention was paid to the postoperative conditions, including breathing type, sleeping, effects of artificial occlusion of the tube, Toynbee phenomenon, and other annoying symptoms. This study suggested that the cost-effective procedure was proven to be excellent in the relief of the symptoms and signs of a nose-packed patient.

並列關鍵字

nasal packing ； ventilation tube ； Toynbee phenomenon