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理论上应用类固醇激素能减轻鼻成形术后的局部水肿及由水肿引起的并发症,但临床上缺乏对照研究。本文采用随机双盲法对鼻成形术者进行对照研究。研究组24人,术中静脉滴注地塞米松10mg,术后第一天口服强的松50mg,每日递减10mg至第5天;对照组25人,术中及术后以相同给药方式应用安慰剂。术后第1、4、7天分别检查病人,上下睑水肿程度分4级:Ⅰ级轻度水肿;Ⅱ级水肿波及虹膜;Ⅲ级遮盖虹膜;Ⅳ级睑裂消失。眶周瘀血分4级:Ⅰ级在角膜内侧;Ⅱ级至瞳孔;Ⅲ级超过瞳孔;Ⅳ级至外眦。鼻旁水肿经触诊颊部组织
The theoretical application of steroids can reduce local edema after rhinoplasty and complications caused by edema, but the lack of clinical control study. In this paper, a randomized double-blind method of nasal surgery were controlled study. The study group of 24 people, intravenous infusion of dexamethasone 10mg, oral prednisone 50mg on the first day, decreased 10mg daily to 5 days; control group of 25 patients, intraoperative and postoperative with the same mode of administration Placebo. The patients were examined on the 1st, 4th and 7th day after operation respectively. The degree of upper and lower eyelid edema was divided into four grades: grade Ⅰ mild edema, grade Ⅱ edema affected iris, grade Ⅲ covered iris and grade Ⅳ palpebral fissure disappeared. Periorbital stasis is divided into four levels: Ⅰ level in the cornea medial; Ⅱ level to the pupil; Ⅲ level over the pupil; Ⅳ level to leprosy. Nasal edema palpation cheek tissues