简述功能性内窥镜鼻窦手术前后护理

更新时间:2023-12-17 作者:用户投稿原创标记本站原创
【摘要】 目的:探讨功能性内窥镜鼻窦手术(FESS)的围术期整体护理。策略:对2012年1月-2013年9月在笔者所在医院就诊的100例慢性鼻窦炎鼻息肉患者的临床资料行回顾性分析,根据随机数字表分组,在FESS术基础上,对照组(n=50)仅行常规护理,干预组(n=50)实施包括健康教育、心理护理、术前准备、常规护理、术腔护理、用药指导、并发症观察与护理、出院指导的整体护理,比较疗效及并发症。结果:干预组、对照组的治疗总有效率分别为94.0%、80.0%(P<0.05);在围术期,干预组、对照组分别发生并发症2例、8例(P<0.05)。结论:联合FESS术和围术期整体护理,可提高CSNP疗效,改善患者预后,值得深究推广。
【关键词】 功能性内窥镜; 鼻窦手术; 整体护理
B 文章编号 1674-6805(2014)13-0084-02
Analysis of Nursing before and after Functional Endoscopic Sinus Surgery/SONG Xiao-mei,LI Leng-mei,TAN Ling-fang,et al.//Chinese and Foreign Medical Research,2014,12(13):84-85
【Abstract】 Objective:To observe the perioperative holistic nursing care with functional endoscopic sinus surgery.Method:The clinical materials of 100 patients were reviewed and analyzed retrospectively from Jan 2012 to Sep 2013.They were divided into two groups by the table of random number,comparing the curative effect and complications.The control group(n=50) received the routine nursing care. The intervention group(n=50) received the holistic nursing care including health education,mental nursing,preoperative preparation,routine nursing care,surgical city nursing, medication guidance,complication nursing and discharge guidance.Result:The total efficiency of the control group was 80.0%,while the intervention group was 94.0%(P<0.05).Complications occurred in 8 cases of the control group,while the intervention group was 2 cases(P<0.05).Conclusion:Combined with FESS procedure and perioperative holistic nursing care,can improve the curative effect of CSNP and the prognosis of the patients,is worth further promotion.
【Key words】 Functional endoscopic; Sinus operation; Holistic nursing care
First-author’s address:Hengli Hospital of Dongguan City,Dongguan 523460,China
慢性鼻窦炎鼻息肉(chronic sinusitis and nasal polyps,CSNP)是耳鼻咽喉科的常见病,传统手术治疗有部分疗效,但常使鼻腔功能严重受损[1]。功能性内窥镜鼻窦外科(functional endoscopic sinus surgery,FESS)是鼻科领域对CSNP治疗的一次革命,它在清除鼻内病灶的同时,能够尽量保留鼻窦、鼻腔的生理结构,使其得以改善、重建[2]。自2012年起,笔者所在医院在行FESS术时配合实施术前、术后整体护理,获得满意疗效,现报告如下。
1 资料与策略
1.1 一般资料
选择2012年1月-2013年9月在笔者所在医院就诊的100例CSNP患者,均符合相关诊断标准[3],排除有精神神经系统或心、肝、肾等重要脏器严重疾患者。其中男55例,女45例;年龄18~75岁,平均(37.4±8.8)岁;病程3个月~30年,平均(2.2±1.9)年;慢性鼻窦炎鼻息肉临床分型,Ⅰ型52例,Ⅱ型42例,Ⅲ型6例,伴鼻中隔偏曲30例;单侧病变13例,双侧病变87例。根据随机数字表法分组,干预组、对照组各50例。两组一般资料比较,差异无统计学作用(P>0.05),具有可比性。
1.2 策略
在鼻内窥镜下,分别对100例CSNP患者实施鼻息肉摘除术、双下甲部分切除术、上颌窦筛窦开放术、鼻中隔偏曲矫正术等对症手术方式。围术期,对照组仅行常规护理,而干预组实施术前、术后整体护理干预,具体包括健康教育、心理护理、术前准备(术前护理)及常规护理、术腔护理、用药指导、并发症观察与护理、出院指导(术后护理)等。术后观察两组患者头痛、鼻塞等临床症状,以及嗅觉、鼻腔分泌物等转变,记录疗效、并发症发生情况。

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