Improvement of the methods of stopping nose bleeds in patients under antithrombotic therapy

Abstract

The aim of the research. Comparative study of the effectiveness of various methods of stopping epistaxis in patients under antithrombotic therapy. Materials and methods. The study of the effectiveness of various methods of stopping bleeding in 156 patients with epistaxis, which developed against the background of antithrombotic therapy, was conducted. All patients were divided into two groups: the main group (104 patients), in which the stoppage of nosebleeds was carried out by a combined method, which includes the use of a two-chamber hydrotampon of our own design in combination with "Nosochem" gel and thermal exposure, and a control group (52 patients), where classic gauze tamponade of the nasal cavity was used. Results. The method proposed by us showed its effectiveness in stopping nosebleeds in 100 (96.1 %) patients of the main group. In the control group of patients with gauze tamponade of the nasal cavity, tamponade ensured stable hemostasis in 44 (84.6 %) patients. Conclusions. The combined method of stopping epistaxis, which includes the use of a two-chamber hydrotampon of our own design in combination with "Nosochem" gel and thermal exposure, is more effective and safer compared to traditional gauze tamponade and can be recommended as the method of choice for stopping epistaxis against the background of antithrombotic therapy. The proposed method is easy to use, provides a reliable hemostatic effect, preserves the function of nasal breathing, reduces the trauma of tamponade and the risk of recurrent bleeding. One of the advantages of the hydrotampon is the absence of the tampon sticking to the mucous membrane and its impregnation with blood and wound exudate, which allows you to extend the period of tamponade if necessary, and the tampon removal procedure is less painful with a lower risk of bleeding recurrence