Univariate and multivariate analyses for postoperative bleeding after nasal endoscopic surgery

作者：Zeng, Ruifang; Li, Wei; Ma, Yanhong; Xu, Zi; Ai, Jingang; Tan, Guolin^*

来源：Acta Oto-Laryngologica, 2014, 134(5): 520-524.

DOI：10.3109/00016489.2013.879739

• Chronic rhino-sinusitis
• risk factor
• endonasal surgery
• surgical complication

Conclusions: Our study suggested that the major risk factors for postoperative bleeding after nasal endoscopic surgery (NES) included hypertension, long-term non-steroidal anti-inflammatory drugs (NSAIDs), and previous nasal surgery. The use of preoperative corticosteroids is a valuable measure for reducing postoperative bleeding after NES. Objectives: To explore risk factors for postoperative bleeding after NES and find effective measures to reduce or prevent the condition. Methods: A total of 641 patients who underwent NES were analyzed retrospectively. Univariate analysis and logistic regression were performed to find potential risk factors. Results: The incidence of postoperative bleeding after NES was 8.4%. Multivariate logistic regression analysis revealed that the occurrence of postoperative bleeding after NES was positively associated with hypertension, long-term NSAIDs, previous NES, and modified submucosal septoplasty, but negatively associated with the use of preoperative corticosteroids.

• 出版日期2014-5
• 单位中南大学