METHODS: A retrospective review was conducted, analyzing pediatric epistaxis cases managed both at home and in clinical settings. Data on gender distribution, clinical presentation, and treatment methods were collected and analyzed. Home remedies, first aid management, and clinical interventions like the use of nasal sprays and septoplasty were evaluated.
RESULTS: The study found significant differences in gender distribution between home (46.2% males) and clinical settings (61% males). Recurrent nasal bleeding was more common in home settings (75%), whereas more complex cases were predominant in clinical settings. Nasal sprays containing decongestants were widely used in clinical settings (62.1%), contrasting with a preference for first aid measures at home. Surgical interventions like septoplasty were occasionally employed in clinical scenarios.
CONCLUSIONS: The study highlights distinct approaches to managing pediatric epistaxis in home versus clinical settings. It underscores the importance of tailored treatment strategies, considering the severity and frequency of epistaxis episodes. These findings suggest a need for comprehensive guidelines to assist caregivers and healthcare professionals in effective decision-making for pediatric epistaxis management. The study also emphasizes the necessity for ongoing research and education in this area.
方法:进行了回顾性研究,分析在家庭和临床环境中管理的小儿鼻出血病例。性别分布数据,临床表现,收集并分析处理方法。家庭补救措施,急救管理,和临床干预措施,如使用鼻喷雾剂和鼻中隔成形术进行了评估。
结果:研究发现家庭(46.2%男性)和临床(61%男性)之间的性别分布存在显著差异。复发性鼻出血在家庭环境中更为常见(75%),而更复杂的病例在临床环境中占主导地位。含有减充血剂的鼻腔喷雾剂在临床中广泛使用(62.1%),与家庭急救措施的偏好形成鲜明对比。在临床情况下,偶尔会采用手术干预措施,例如鼻中隔成形术。
结论:该研究强调了在家庭和临床环境中处理小儿鼻出血的不同方法。它强调了量身定制的治疗策略的重要性,考虑鼻出血发作的严重程度和频率。这些发现表明,需要全面的指南来帮助护理人员和医疗保健专业人员进行儿科鼻出血管理的有效决策。该研究还强调了在这一领域进行研究和教育的必要性。