CAJ | 학술논문

目的：探讨对鼻内镜下鼻窦术后出院患者实施规范化延续护理的效果。方法选取2012年1月-2013年1月收治的鼻内镜下鼻窦炎鼻息肉手术患者80例，按照随机数字分组法分为观察组和对照组各40例，对照组采取常规护理及出院指导，观察组给予规范化延续护理措施，比较两组干预效果。结果观察组治疗有效率为97．5％，对照组为85．0％，两组比较差异有统计学意义（χ2＝2．23，P＜0.05）。观察组发生鼻腔粘连2例，发生率为5．0％；对照组发生鼻腔粘连6例，上颌窦口狭窄1例，眶内出血1例，并发症发生率为20．0％，两组比较差异有统计学意义（χ2＝3．45，P＜0．05）。结论对鼻内镜下鼻窦术后出院患者实施规范化延续护理可有效提高患者治疗有效率，减少并发症发生，值得临床推广应用。
목적：탐토대비내경하비두술후출원환자실시규범화연속호리적효과。방법선취2012년1월-2013년1월수치적비내경하비두염비식육수술환자80례，안조수궤수자분조법분위관찰조화대조조각40례，대조조채취상규호리급출원지도，관찰조급여규범화연속호리조시，비교량조간예효과。결과관찰조치료유효솔위97．5％，대조조위85．0％，량조비교차이유통계학의의（χ2＝2．23，P＜0.05）。관찰조발생비강점련2례，발생솔위5．0％；대조조발생비강점련6례，상합두구협착1례，광내출혈1례，병발증발생솔위20．0％，량조비교차이유통계학의의（χ2＝3．45，P＜0．05）。결론대비내경하비두술후출원환자실시규범화연속호리가유효제고환자치료유효솔，감소병발증발생，치득림상추엄응용。
Objective To investigate the effect of standardized extended care on the patients after endoscopic sinus surgery .Methods Eighty cases after endoscopic sinus surgery , from January 2012 to January 2013 , were randomly divided into treatment group and control group , with 40 cases each .The control group was taken the usual care and discharge guidance , and the treatment group was given the standardized extended care . Results The effective rate of the treatment group and the control group were 97.5% and 85.0%.There was significant difference between groups (χ2 =2.23,P <0.05).2 cases in the treatment group occurred nasal adhesions, with a complication rate of 5.0%.In the control group, 6 cases occurred nasal adhesions;1 case occurred maxillary sinus stenosis; 1 case occurred orbital hemorrhage , with a complication rate of 20.0%. There was significant difference between groups (χ2 =3.45,P =0.561).Conclusions The standardized extended care can significantly improve patient treatment efficiency and reduce complications .It is worthy of clinical application .