Abstract:Objective To investigate the effect of low-temperature radiofrequency ablation under laryngeal endoscope on epiglottic cysts.Method 35 patients with epiglottic cysts admitted to our hospital from January 2019 to March 2023 were selected as the study subjects.Low temperature plasma radiofrequency ablation surgery was performed and followed up for 1-6 months to observe the patient's efficacy.Result All 35 patients participating in the study underwent low-temperature plasma radiofrequency ablation,and there was no bleeding during or after the surgery.The postoperative pain was mild,the recovery was fast,the hospitalization period was short,and there was no recurrence.Conclusion Low temperature radiofrequency ablation treatment for epiglottic cyst patients can improve the clinical indicators during the perioperative period after surgery.It reduces the patient's bleeding volume,shortens the surgical time,and alleviates the patient's pain level,thereby reducing the surgical risk.Moreover,due to the low medical cost and simple equipment requirements of this surgical treatment method,it is worth promoting in clinical practice.

Abstract:Objective To discuss the CT findings of fungal rhinosinusitis complicated with bacterial infection.Method A retrospective analysis was carried out,and 80 patients with fungal rhinosinusitis were selected to receive diagnosis and treatment mainly from April 2021 to April 2023.They were divided into groups with or without bacterial infection,that is,40 patients with fungal rhinosinusitis without bacterial infection were included in the control group.Forty patients with fungal rhinosinusitis combined with bacterial infection were included in the study group.All the enrolled patients received CT examination,and then observed the lesion site,lesion characteristics,and indicators of the degree of damage to the sinus wall in the two groups.Results There was no statistical significance in the incidence rates of maxillary sinus,sphenoid sinus,ethmoid sinus and multi-sinus lesions between the two groups(P＞0.05).And all concentrated in maxillary sinus.The incidence of soft tissue shadow and calcification lesion in the study group was higher than that in the control group,but there was no statistical significance(P＞0.05).The characteristic probability of liquid level lesion in the study group was 40％,which was significantly higher than that in the control group(0％),with statistical significance(P＜0.05).The incidence of no damage to the sinus wall in the study group was lower than that in the control group,but there was no statistical significance(P＞0.05).The rate of severe extensive damage of the sinus wall in the study group(32.5％)was significantly higher than that in the control group(7.5％),with statistical significance(P＜0.05).Conclusion The lesions of fungal nasosinusitis complicated with bacterial infection were mainly located in the maxillary sinuses under CT examination,with thickening of the sinus wall,soft tissue shadow in the sinus and calcification foci.In particular,the severity of severe and extensive damage of the liquid level and the sinus wall was significantly worse than that of the patients without bacterial infection.

Abstract:Objective To discuss the effect of humanized nursing intervention on the treatment of patients with acute nasal bleeding.Methods A retrospective study was carried out.100 patients with acute nasal hemorrhage received diagnosis and treatment mainly from February 2022 to March 2023,and were divided into control group(50 cases)and study group(50 cases)according to the difference of nursing mode.The control group implemented routine nursing and the research group implemented humanized nursing.Outcome measures:treatment effect,frequency of nosebleed,psychological state,nursing satisfaction score.Results The total effective rate of 96％in the study group was significantly higher than 84％in the control group,P＜0.05.After nursing for 3 days,the nasal bleeding frequency index of the study group was significantly lower than that of the control group,P＜0.05.After 3d nursing,HAMA score and HAMD score indexes of the study group were significantly lower than those of the control group,P＜0.05.The score index of nursing satisfaction in the study group was significantly higher than that in the control group,P＜0.05.Conclusion Humanized nursing intervention can improve the therapeutic effect,reduce the frequency of nasal bleeding,optimize the psychological state and improve nursing satisfaction.

Abstract:Objective To explore whether narrowband imaging(NarrowbandImaging,NBI)can more accurately judge the benign and malignant tumors of nasopharynx.Methods From September 2021 to March 2023,patients with nasopharyngeal tumors were examined and biopsied by electronic endoscope with NBI mode.The white light mode and NBI mode were compared and analyzed,and the recognition ability of nasopharyngeal lesions was observed by the combination of the two modes.Results The sensitivity,specificity,positive predictive value and negative predictive value of white light mode and NBI mode in the diagnosis of nasopharyngeal carcinoma were 95.52％,92.06％,92.75％and 95.08％respectively.The accuracy was 95.30％.After comparison,there were statistical differences in sensitivity,negative predictive value and accuracy.Conclusion The combination of white light mode and NBI mode can more accurately judge the benign and malignant nasopharyngeal tumors,and has more advantages in sensitivity,negative predictive value and accuracy.

Abstract:Objective To explore the effect of nutrition education and nutrition consultation based on WeChat platform on the nutritional status of patients with nasopharyngeal carcinoma undergoing radiotherapy.Methods A total of 60 patients with nasopharyngeal carcinoma who received radiotherapy in our department from January 2021 to December 2022 were selected and divided into control group and observation group according to the order of admission,with 30 cases in each group.The control group was given routine nursing,and the observation group was combined with WeChat platform for nutrition educa-tion and nutrition consultation on the basis of the control group.The nutritionr-elated indicators hemoglobin(Hb),serum albumin(ALB),serum prealbumin(PA),NRS2002 score and the incidence of radiation-induced oral mucositis were compared between the two groups before and after radiotherapy.Results After intervention,the nutritional status of the observation group was better than that of the control group,and the incidence of radioactive oral mucositis in the obs-ervation group was lower than that in the control group,the difference was stat-istically significant(P＜0.05).Conclusion Nutrition education and nutrition consu-ltation based on WeChat platform can improve the nutritional status of patients with nasopharyngeal carcinoma undergoing radiotherapy,reduce the incidence of radioactive oral mucositis,and is conducive to the treatment and prognosis of patients.

Abstract:Objective To analyze the effect of comfort nursing mode in the nursing of patients with radioactive pharyngitis after radiotherapy for nasopharyngeal cancer,and its influence on the use of analgesic drugs in patients.Methods A total of 52 patients with nasopharyngeal carcinoma with radiation pharyngitis after radiotherapy admitted to our hospital from January 2021 to October 2022 were randomly divided into 2 groups.Patients in the observation group(n=26)received comfort nursing,and patients in the control group(n=26)received routine nursing.The implementation effect of the nursing program was evaluated according to the nursing indexes of the two groups.Results The proportion of patients using analgesic drugs in observation group was lower than control group,pain score was lower than control group,nursing satisfaction data was higher than control group(P＜0.05).Conclusion During the nursing intervention of patients with radioactive pharyngitis after radiotherapy for nasopharyngeal cancer,comfort nursing mode can significantly relieve the physical pain of patients and reduce the use of pain drugs for patients,which is worth promoting.

Abstract:Objective To explore the effect and value of comprehensive nursing practice in reflux pharyngitis.Methods A total of 72 patients with reflux pharyngitis from January 2019 to January 2019 were selected and divided into two groups according to the random number table method.The control group was assisted with general nursing care,and the 2023 group was treated with routine nursing care,based on this,the Observation Group assisted with comprehensive nursing,compared 2 groups of indicators,including psychological status,quality of life and satisfaction.Result ① Psychological status:The improvement degree of anxiety(SAS)and depression(SDS)in the observation group was higher than that in the control group,and the difference was statistically significant(P＜0.05);(2)Symptom disappearance time:Based on symptoms such as hoarseness and chronic cough,the observation group showed lower performance compared to the control group(P＜0.05);③ Quality of life:The observation group showed higher scores in social/mental/physiological factors compared to the control group(P＜0.05):④ Satisfaction:The observation group showed higher satisfaction than the control group(P＜0.05).Conclusion The effect of comprehensive nursing care in reflux pharyngitis is significant,which can improve the related symptoms,relieve psychological stress and benefit the prognosis of patients.

Abstract:Objective To discuss the clinical effect of Tanreqing in patients with acute upper respiratory tract infection.Methods A total of 52 patients with acute upper respiratory tract infection received diagnosis and treatment from October 2022 to June 2023,and were divided into control group(26 cases)and study group(26 cases)by randomized balanced sequential method.The control group received conventional treatment,and the study group received Tanreqing treatment on the basis of the control group.Patients in both groups received treatment for a total of 7 days.After completing the above indexes,the efficacy was evaluated,the level of inflammatory factors was detected,and the treatment time was counted.Results The total effective rate of 96.15％in the study group was significantly higher than that of 76.92％in the control group,and the difference was statistically significant(P＜0.05).There was no significant difference in the levels of inflammatory factors between the two groups before treatment(P＞0.05).After 7 days of treatment,the levels of procalcitonin,hypersensitive C-reactive protein and interleukin-6 inflammatory factor in the study group were significantly lower than those in the control group,and the difference was statistically significant(P＜0.05).The duration of fever,nasal congestion or runny nose,swollen tonsils and cough in the study group were significantly lower than those in the control group,and the differences were statistically significant(P＜0.05).Conclusion The treatment of Tanreqing in patients with acute upper respiratory tract infection is effective,which can reduce the level of inflammatory factors and shorten the treatment time.

Abstract:Objective To explore and analyze the diagnostic results of coronal and axial CT plain scans of nasal sinuses in patients with malignant tumors of the nasal cavity and sinuses.Method A total of 82 patients with malignant tumors of the nasal cavity and sinuses admitted to our hospital were selected,with a time distribution range of January 2021 to December 2022.All patients underwent coronal and axial CT scans of the sinuses,and the effectiveness of different diagnostic methods was compared.Result Malignant tumors in the nasal cavity and sinuses are prone to invading multiple parts.By using coronal and axial CT scans,it can be found that malignant tumors in the nasal cavity and sinuses are prone to invading unilateral parts of the nasal cavity;The diagnostic effectiveness rate of coronal CT plain scan for adenoid cystic carcinoma reached 100％,squamous cell carcinoma reached 96.00％,and lymphoma reached 95.83％.Compared with axial CT plain scan,the diagnostic effectiveness rate was significantly higher(75.75％,88.00％,75.00％),and the difference was P＜0.05.Conclusion When diagnosing malignant tumors of the nasal cavity and sinuses,the diagnostic effectiveness of coronal CT of the sinuses is higher,and it is worth promoting and applying in clinical practice.

Abstract:Objective To explore the clinical efficacy of lidocaine and carbamazepine in the diagnosis and treatment of subjective tinnitus in the elderly.Methods A total of 66 cases of subjective tinnitus in the elderly were selected from the 2021 of January to 2023 of January in our hospital,on the basis of the control group,lidocaine was used in the treatment group.The clinical efficacy,tinnitus severity,adverse reactions and quality of life were compared.Results ①clinical effect:compared with the control group,the clinical effect of the treatment group was significantly increased,the difference was significant(p＜0.05);② the severity of tinnitus:the severity of tinnitus in the treatment group was lower than that in the control group,the difference was significant(p＜0.05);③adverse reactions:there was no significant difference between the two groups in adverse reactions,such as nausea and vomiting(p＞0.05);④quality of life:after 6-month follow-up,the quality of life(such as psychological/social function,vitality,etc.)in the treatment group was significantly higher than that in the control group,the difference was significant(p＜0.05).Conclusion The therapeutic effect of lidocaine and carbamazepine on subjective tinnitus in the elderly is better than that of single carbamazepine,which can reduce the severity of tinnitus,and the combined use of lidocaine and carbamazepine has high safety and good prognosis.

Abstract:Objective To analyze and evaluate the effect of high-quality nursing on quality of life in patients with sleep apnea hypopnea syndrome.Methods 94 patients with sleep apnea hypopnea syndrome enrolled in our hospital during the period of collection from April 2021 to April 2022 were selected as the objects of this study,and were divided into the reference group(47 cases)and the experimental group(47 cases)by computer sampling method.The reference group received routine nursing,and the experimental group received high-quality nursing.The quality of life and sleep before and after intervention were compared between the two groups.Results Before intervention,there was no statistical significance in quality of life between the 2 groups(P＞0.05).After intervention,the scores of quality of life in the experimental group were higher than those in the control group(P＜0.05).There was no difference in sleep quality between the experimental group and the reference group before intervention(P＞0.05),but the sleep quality score after intervention was lower than that of the reference group(P＜0.05).Conclusion The clinical implementation of high quality nursing for patients with sleep apnea hypopnea syndrome can effectively relieve patients'negative emotions and improve their quality of life,It is worth popularizing and implementing.

Abstract:With the rapid development of information technology,the Internet's influence on education cannot ignore.Nowadays,online and offline blended teaching is becoming more and more common,which requires us to think about how to realize the complementary advantages of traditional teaching and online teaching,so as to create a blended teaching model suitable for students and help them better master the constantly updated knowledge.This is also a question that many scholars have been exploring.Based on Xueyin online of Chaoxing Group,this study explored the influence of blended teaching model on medical undergraduate teaching.Taking Otolaryngology Head and neck surgery as an example,the blended teaching model suitable for medical undergraduate teaching was initially constructed,and the model was applied to practical teaching.By gradually refining and finalizing the blended teaching model,we have successfully solved this problem.

Abstract:Objective Exploring the value of personalized nursing plans for patients undergoing ear,nose,and throat surgery in their operating room nursing work to improve nursing quality and alleviate negative emotions.Method A total of 70 surgical patients admitted to the otolaryngology department of our hospital from January 2022 to December 2022 were included.Before undergoing surgical treatment,standardized grouping was conducted,and different operating room nursing measures were given to evaluate the differences in nursing outcomes between the groups.They are the control group and the observation group,with similar sample sizes included between the groups,corresponding to routine care and personalized care for surgery.Result The nursing quality and safety of the two groups were evaluated,and the scores of instrument and equipment management,disinfection and isolation,instrument preparation,nurse cooperation skills,and nursing safety in the operating room were higher than those in the observation group(P＜0.05).The emotional status of the two groups of patients was evaluated before and after nursing care.There was a small difference between the two groups before and after nursing care.Negative emotions in both groups were alleviated after nursing care,and the score values were lower in the observation group,P＜0.05.Conclusion Implementing personalized nursing plans in the operating room for patients undergoing ear,nose,and throat surgery has significant value in improving nursing quality and alleviating negative emotions.

Abstract:Objective To explore the positivity of bilateral stellate ganglion block(SGB)combined with acupoint injection in the treatment of allergic rhinitis patients.Method The period from June 2021 to October 2022 was the period for selecting cases in this study.The data of 60 patients with allergic rhinitis in our hospital were retrospectively selected and grouped according to the random sampling method(ensuring that 30 cases were included in each group);The control group received SGB treatment,while the observation group received SGB combined with acupoint injection.Result Compared with 76.66％of the clinical efficacy observation indicators in the control group,the clinical efficacy of the observation group(17 cases showed significant effect and 12 cases showed effective effect,respectively)was significantly higher(P＜0.05).After treatment,compared with the observation data of inflammatory response and specific cytokine levels in the control group,the observation group showed significantly lower values of IL-4,IL-6,IL-10,LTB4,IgE indicators,lower expression of inflammatory response,and higher expression of Th1/Th2(P＜0.05).Conclusion The combination of SGB and acupoint injection has a significant effect on the treatment of allergic rhinitis,which can improve the prognosis of patients on the basis of improving clinical efficacy.

Abstract:Objective To evaluate the effectiveness of holographic acupuncture plus periauricular acupuncture in patients with neuropathic deafness(ND).Method 56 cases of ND patients from February 2021 to June 2022 were included and divided into control group(28 cases included and received conventional Western medicine treatment)and observation group(28 cases included and received holographic acupuncture+periauricular acupuncture treatment)according to random number table method.To evaluate intergroup treatment response rate,hearing function,and World Health Organization Quality of Life Inventory(WHOQOL-BREF).Results(1)Compared with the control group(78.57％),the effective rate of observation group(96.43％)was higher,P＜0.05;(2)Before treatment,there were no differences in hearing function(PTA,ABR)and WHOQOL-BREF(social domain,physiological domain,psychological domain)scores between groups,P＞0.05;After 4 weeks of treatment,the hearing function(PTA,ABR)of the observation group was lower,and the WHOQOL-BREF(social domain,physiological domain,psychological domain)score was higher,P＜0.05.Conclusion Holographic acupuncture+periauricular acupuncture treatment for ND patients can improve the effective rate of treatment,restore hearing as soon as possible,improve the quality of life,it is worth promoting.

Abstract:Objective To explore the impact of different anesthesia schemes on intraoperative lung compliance in the treatment of chronic sinusitis patients undergoing endoscopic sinus surgery.Method The study continued to be conducted in a retrospective manner,with a limited case selection period from August 2021 to July 2022.Data from 70 patients with chronic sinusitis undergoing endoscopic sinus surgery in our hospital were selected and grouped according to the random sampling method(ensuring that 35 cases were included in each group);They are the total intravenous anesthesia group and the inhalation anesthesia group.Result(1)There was no significant difference in data between the two groups of patients in terms of heart rate,mean arterial pressure,bleeding rate,and other indicators before and during anesthesia induction(P＞0.05).(2)There was no significant difference in lung compliance and peak airway pressure between the two groups of patients at different time points during surgery(P＞0.05).Conclusion For patients with chronic sinusitis undergoing endoscopic sinus surgery,relying solely on intravenous anesthesia and inhalation anesthesia does not have a significant impact on intraoperative lung compliance.Therefore,in actual treatment,it is necessary to determine the optimal anesthesia plan based on the patient's actual situation.

Abstract:Objective To analyze the value of CT scan in nasopharyngeal carcinoma(NPC)with secretory otitis media(som).Methods 50 cases of nasopharyngeal carcinoma with secretory otitis media were selected and analyzed.The starting point of the study was from December 2018 to December 2021.CT examination was performed before and after radiotherapy,statistics each index(nasopharyngeal carcinoma each stage otitis media examination result,nasopharyngeal carcinoma before and after radiotherapy nasopharyngeal cavity situation)analysis.Results The results of otitis media in different stages of NPC were analyzed.The results of T 1,T 2,T 3,T 4 scan before radiotherapy and T 1,T 2,T 3,T 4 scan after radiotherapy showed significant difference(p <0.05).Analysis of nasopharyngeal cavity before and after radiotherapy compared with pre-radiotherapy,the actual acquisition of pre-and post-radiotherapy nasopharyngeal cavity diameter data,the actual acquisition of nasopharyngeal cavity transverse diameter data is significantly lower,the comparison between groups has statistical significance,p <0.05.The diagnostic accuracy was 97.06％before radiotherapy and 100.00％after radiotherapy.Conclusion CT scan can improve the accuracy of diagnosis and help doctors make a definite diagnosis in patients with nasopharyngeal carcinoma and secretory otitis media,it improves the level of diagnosis to a great extent and has the value of reference and application in clinical practice.

Abstract:Objective To observe the clinical application effect and symptom relief effect of clarithromycin combined with standard myrtle oil enteric-coated capsules and mometasone furoate nasal spray in patients with chronic rhinosinusitis.Methods A total of 93 patients with chronic rhinosinusitis were selected for comparative treatment studies,and the study period was September 2020～February 2023.To analyze the therapeutic effect of standard myrtle oil enteric-coated capsules+mometasone furoate nasal spray combined with low-dose clarithromycin.Results The Lund-Kennedy score in the study group at one month and March and blood Il-5,IL-6,IL-1β and TNF-α in the treatment group at 3 months were lower than those in the reference group,and the effective rate of treatment in the study group(95.65％)was higher than that in the control group,and the difference was statistically significant,P＜0.05,and the difference was statistically significant,P＜0.05.Conclusion Clarithromycin combined with standard myrtle oil enteric-coated capsules and mometasone furoate nasal spray in the clinical treatment of patients with chronic rhinosinusitis is definite.

Abstract:Objective To analyze the effect of different operating room nursing intervention methods in clinical intervention of thyroid surgery patients,in order to comprehensively improve the quality of care for thyroid surgery patients to find effective intervention paths.Method Sixty-eight patients who received thyroid surgery treated in the operating room of our hospital from January 2021 to October 2022 were selected as the research objects.After randomly divided into two groups,patients in the observation group(34 cases)received proceded operating room nursing intervention,while patients in the control group(34 cases)received routine nursing.Psychological state scores and stress response and other clinical indicators were compared between the two groups.Results The stress response level and psychological state score of observation group were lower than control group(P＜0.05),the incidence of postoperative complications of observation group was lower than control group(P＜0.05).Conclusion In the intervention of patients with thyroid surgery,the nursing staff strictly implement the process of operating room nursing intervention method can significantly eliminate the negative psychological state of patients,reduce the incidence of stress response is an important part,meet the requirements of patients with comprehensive disease management in the perioperative period,and has popularization value.

Abstract:Objective The main purpose is to explore the clinical value of CT in the differential diagnosis of benign and malignant accessory sinus tumors.Methods The baseline data of 82 patients with paranasal sinus tumors were screened from January 2021 to December 2022.By CT examination,the lesion site,morphology,boundary,density and calcification were observed,and the pathological results were the gold standard,the accuracy of CT diagnosis was evaluated,and the imaging characteristics were analyzed.Results In CT diagnosis,62 benign tumors and 20 malignant tumors were detected in patients with paranasal sinus tumors during diagnosis,and the obtained results were not significantly different,and the obtained results were presented as P＞0.05.The CT imaging manifestations of patients with paranasal sinus tumors were analyzed,among which patients with benign tumors mainly had clear boundaries,morphological rules,no cystic necrosis and bone destruction,while patients with malignant tumors showed irregular diseased tissue morphology,blurred boundary,cystic necrosis,bone destruction,and infiltrative growth.Conclusion CT diagnosis of paranasal sinus tumor patients can effectively identify benign and malignant lesions,and fully show the signs of various lesions,which is conducive to determining the tumor site,scope,surrounding tissue and bone involvement,and has high reference value.