国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
19期
3039-3042
,共4页
鼻内窥镜%微波治疗%顽固性鼻出血%护理干预
鼻內窺鏡%微波治療%頑固性鼻齣血%護理榦預
비내규경%미파치료%완고성비출혈%호리간예
Nasal endoscopic%Microwave treatment%Nasal bleeding%Nursing intervention
目的 探讨鼻内窥镜下微波治疗顽固性鼻出血患者的护理干预效果.方法 将2013年6月至2014年5月我科收治的120例顽固性鼻出血患者的临床资料及鼻内窥镜下微波治疗前后的护理措施进行了总结与回顾性分析.结果 本组患者经有效治疗与护理,出血症状均得到控制,无一例出现并发症,且全部治愈出院.其中113例患者为一次鼻内窥镜下微波止血成功,另7例患者为二次治疗成功.但本组术后因年龄、性别等不同,大多患者存在疼痛感,出现轻度疼痛有91例(75.8％)、中度疼痛29例(24.2％),通过对症治疗和护理,患者疼痛症状明显消失,患者住院时间平均为5天.经随访6个月,未见患者继续出血或渗血等发生.结论 鼻内镜下微波手术治疗顽固性鼻出血,具有安全有效、止血快、术后并发症少、微创手术时间短等优点,因此加强鼻内窥镜下治疗顽固性鼻出血患者术前与术后的有效护理干预,可明显提高患者的舒适度,促进其早日恢复.
目的 探討鼻內窺鏡下微波治療頑固性鼻齣血患者的護理榦預效果.方法 將2013年6月至2014年5月我科收治的120例頑固性鼻齣血患者的臨床資料及鼻內窺鏡下微波治療前後的護理措施進行瞭總結與迴顧性分析.結果 本組患者經有效治療與護理,齣血癥狀均得到控製,無一例齣現併髮癥,且全部治愈齣院.其中113例患者為一次鼻內窺鏡下微波止血成功,另7例患者為二次治療成功.但本組術後因年齡、性彆等不同,大多患者存在疼痛感,齣現輕度疼痛有91例(75.8％)、中度疼痛29例(24.2％),通過對癥治療和護理,患者疼痛癥狀明顯消失,患者住院時間平均為5天.經隨訪6箇月,未見患者繼續齣血或滲血等髮生.結論 鼻內鏡下微波手術治療頑固性鼻齣血,具有安全有效、止血快、術後併髮癥少、微創手術時間短等優點,因此加彊鼻內窺鏡下治療頑固性鼻齣血患者術前與術後的有效護理榦預,可明顯提高患者的舒適度,促進其早日恢複.
목적 탐토비내규경하미파치료완고성비출혈환자적호리간예효과.방법 장2013년6월지2014년5월아과수치적120례완고성비출혈환자적림상자료급비내규경하미파치료전후적호리조시진행료총결여회고성분석.결과 본조환자경유효치료여호리,출혈증상균득도공제,무일례출현병발증,차전부치유출원.기중113례환자위일차비내규경하미파지혈성공,령7례환자위이차치료성공.단본조술후인년령、성별등불동,대다환자존재동통감,출현경도동통유91례(75.8％)、중도동통29례(24.2％),통과대증치료화호리,환자동통증상명현소실,환자주원시간평균위5천.경수방6개월,미견환자계속출혈혹삼혈등발생.결론 비내경하미파수술치료완고성비출혈,구유안전유효、지혈쾌、술후병발증소、미창수술시간단등우점,인차가강비내규경하치료완고성비출혈환자술전여술후적유효호리간예,가명현제고환자적서괄도,촉진기조일회복.
Objective To explore therapeutic effect of nursing intervention under nasal endoscopic microwave in patients with refractory nasal bleeding.Methods 120 patients admitted in our department from June 2013 to May 2014 under nasal endoscopic microwave therapy and nursing measures data were retrospectively analyzed.Results With effective treatment and nursing intervention,all patients were cured and discharged from hospital,including 113 cases of successful nasal endoscopic hemostatic,other 7 cases as secondary treatment success.Bleeding symptoms were controlled and no complication was found,but due to different ages and gender,most of the patients had pain including mild postoperative pain of 91 cases (75.8％),moderate pain of 29 cases (24.2％),after symptomatic treatment and nursing,pain symptoms disappeared obviously.The average hospital stay was 5 days,and no continuous bleeding or errhysis were found in the follow-up for 6 months.Conclusion Microwave treatment under nasal endoscopy for refractory nasal bleeding,has advantages such as safe and effective,quick stop bleeding,less postoperative complication and shorter time of minimally invasive surgery,etc.Thus,strengthening the effective preoperative and postoperative nursing intervention care for patients,can significantly improve their comfort level and promote their early recovery.
