中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
15期
139-141
,共3页
彩超指引%护理干预%颈部淋巴结结核
綵超指引%護理榦預%頸部淋巴結結覈
채초지인%호리간예%경부림파결결핵
Color Doppler ultrasound guidance%Nursing intervention%Tuberculosis of cervical lymph nodes
目的：探究彩超指引下细针穿刺吸取细胞学检查的诊断价值以及在检查中进行护理干预的效果。方法：选取2014年1月-2015年4月本院入院治疗的疑似颈部淋巴结结核患者300例，通过US-FNAC诊断淋巴结患者150例，穿刺肿大淋巴结结节（US-FNAC组）；通过FNAC诊断淋巴结患者150例，穿刺肿大淋巴结结节（FNAC组），对比两种诊断方法的准确性；同时将US-FNAC组经病理确诊的颈部淋巴结结核患者随机分为两个亚组，实验组患者的治疗进行护理干预，对照组患者进行常规治疗，对比两亚组治疗后愈合时间、复发率、不良反应以及抑郁评分，评判护理干预的重要性。结果：US-FNAC诊断较FNAC诊断具有更高的敏感性（99.3%）、特异性（70.0%）及准确性（97.0%）；对颈部淋巴结结核患者采用护理干预能够有效提高临床治疗效果。结论：US-FNAC诊断具有更高的临床诊断价值，对患者进行治疗过程的护理干预能更有效地提高治疗效果，意义重大。
目的：探究綵超指引下細針穿刺吸取細胞學檢查的診斷價值以及在檢查中進行護理榦預的效果。方法：選取2014年1月-2015年4月本院入院治療的疑似頸部淋巴結結覈患者300例，通過US-FNAC診斷淋巴結患者150例，穿刺腫大淋巴結結節（US-FNAC組）；通過FNAC診斷淋巴結患者150例，穿刺腫大淋巴結結節（FNAC組），對比兩種診斷方法的準確性；同時將US-FNAC組經病理確診的頸部淋巴結結覈患者隨機分為兩箇亞組，實驗組患者的治療進行護理榦預，對照組患者進行常規治療，對比兩亞組治療後愈閤時間、複髮率、不良反應以及抑鬱評分，評判護理榦預的重要性。結果：US-FNAC診斷較FNAC診斷具有更高的敏感性（99.3%）、特異性（70.0%）及準確性（97.0%）；對頸部淋巴結結覈患者採用護理榦預能夠有效提高臨床治療效果。結論：US-FNAC診斷具有更高的臨床診斷價值，對患者進行治療過程的護理榦預能更有效地提高治療效果，意義重大。
목적：탐구채초지인하세침천자흡취세포학검사적진단개치이급재검사중진행호리간예적효과。방법：선취2014년1월-2015년4월본원입원치료적의사경부림파결결핵환자300례，통과US-FNAC진단림파결환자150례，천자종대림파결결절（US-FNAC조）；통과FNAC진단림파결환자150례，천자종대림파결결절（FNAC조），대비량충진단방법적준학성；동시장US-FNAC조경병리학진적경부림파결결핵환자수궤분위량개아조，실험조환자적치료진행호리간예，대조조환자진행상규치료，대비량아조치료후유합시간、복발솔、불량반응이급억욱평분，평판호리간예적중요성。결과：US-FNAC진단교FNAC진단구유경고적민감성（99.3%）、특이성（70.0%）급준학성（97.0%）；대경부림파결결핵환자채용호리간예능구유효제고림상치료효과。결론：US-FNAC진단구유경고적림상진단개치，대환자진행치료과정적호리간예능경유효지제고치료효과，의의중대。
Objective:To explore the diagnostic value of ultrasound guided cytological examination of fine needle puncture and the effect of nursing intervention during examination.Method:300 cases with suspected tuberculosis of cervical lymph node treated in our hospital from January 2014 to April 2015 were selected, 150 patients were diagnosed by lymph node US-FNAC and treated with node lymph node puncture (US-FNAC group); another 150 cases were diagnosed by lymph node FNAC and treated with node lymph node puncture (FNAC group).The accuracy of two methods of diagnosis were compared at the same time, patients that pathological diagnosed as tuberculosis of cervical lymph nodes in US-FNAC group were randomly divided into two subgroups, patients in the experimental group were treated with nursing intervention and patients in the control group were treated with routine treatment, healing time , the recurrence rate , adverse reactions and depression score were compared between the two groups after treatment, also the importance of nursing intervention was evaluated.Result:US-FNAC diagnosis had higher sensitivity (99.3%), specificity (70.0%) and accuracy (97.0%) than FNAC diagnosis; The clinical treatment effect could be significantly improved by the nursing intervention in the patients with cervical lymph node tuberculosis.Conclusion:US-FNAC diagnosis has higher clinical diagnostic value, clinical treatment with nursing intervention can improve clinical effect significantly and has better clinical value.
