CAJ | 학술논문

目的：探讨超声雾化吸入在鼻内镜术前应用的效果及护理方法。方法将120例鼻内镜手术患者随机分为实验组和对照组，各60例。对照组按传统鼻科护理常规进行护理，实验组于术前3～5 d在门诊采用0.9%NS 20 ml+1％麻黄素液1 ml+地塞米松10 mg+庆大霉素80000u进行超声雾化吸入，2次/d，每次15～20 min。比较2组患者平均住院费用、平均住院时间、平均出血量及术中并发症的情况。结果实验组患者平均住院费用少、平均住院时间短、平均出血量少及术中并发症少，与对照组比较，差异具有统计学意义（均P<0．05）。结论超声雾化吸入在鼻内镜术前的应用不仅有效减少术中各种并发症的发生，同时还可以缩短患者平均住院时间，减少平均住院费用。
목적：탐토초성무화흡입재비내경술전응용적효과급호리방법。방법장120례비내경수술환자수궤분위실험조화대조조，각60례。대조조안전통비과호리상규진행호리，실험조우술전3～5 d재문진채용0.9%NS 20 ml+1％마황소액1 ml+지새미송10 mg+경대매소80000u진행초성무화흡입，2차/d，매차15～20 min。비교2조환자평균주원비용、평균주원시간、평균출혈량급술중병발증적정황。결과실험조환자평균주원비용소、평균주원시간단、평균출혈량소급술중병발증소，여대조조비교，차이구유통계학의의（균P<0．05）。결론초성무화흡입재비내경술전적응용불부유효감소술중각충병발증적발생，동시환가이축단환자평균주원시간，감소평균주원비용。
Objective To investigate the application effect of ultrasonic atomizing inhalation before endoscopic surgery. Methods 120 cases of patients who would had endoscopic surgery were randomly divided into the experimental group and the control group, and 60 cases in each group. Patients in the control group received traditional nursing of Otolaryngology while the experimental group received ultrasonic atomizing inhalation of 0.9%NS20 ml+1%ephedrine solution 1 ml+dexamethasone 10 mg+gentamicin 80 000 u, 2times/d, ev-ery 15~20min for 3-5 days before the surgery. Then we observed the two groups in the aspects of the average cost of hospitalization, the average hospitalization time,the average amount of bleeding and intraoperative complications. Results The average cost of hospital-ization and the average length of stay of the experimental group was obviously less when compared with the control group. The aver-age amount of bleeding and the incidence of intraoperative complications in the experimental group were siglificantly less than that of the control group, the difference was statistically significant (P<0.05). Conclusion The application of ultrasonic atomizing inhalation be-fore endoscopic surgery can not only effectively reduce the incidence of intraoperative complications but also shorten the average length of stay and reduce the average cost of hospitalization.