CAJ | 학술논문

目的：总结小儿鼾症的围术期护理方法。方法对2013年1月～2014年12月在本科室住院的506例行扁桃体和腺样体切除治疗鼾症的患儿进行围术期护理，包括术前心理护理、术前评估、健康指导，术后保持呼吸道通畅、观察出血情况、疼痛护理、预防感染及预防术后并发症等。结果506例患儿均顺利实施手术，术后出血2例，痰中带血2例，经止血对症治疗缓解。住院时间4～14 d，中位数5．6 d。结论术前评估、心理护理及健康指导能保证手术顺利实施，术后呼吸通道护理，疼痛护理、预防感染、预防并发症及密切观察出血情况等能降低手术不良情况的发生，提高手术治疗效果。
목적：총결소인한증적위술기호리방법。방법대2013년1월～2014년12월재본과실주원적506례행편도체화선양체절제치료한증적환인진행위술기호리，포괄술전심리호리、술전평고、건강지도，술후보지호흡도통창、관찰출혈정황、동통호리、예방감염급예방술후병발증등。결과506례환인균순리실시수술，술후출혈2례，담중대혈2례，경지혈대증치료완해。주원시간4～14 d，중위수5．6 d。결론술전평고、심리호리급건강지도능보증수술순리실시，술후호흡통도호리，동통호리、예방감염、예방병발증급밀절관찰출혈정황등능강저수술불량정황적발생，제고수술치료효과。
Objective To explore the experiences in nursing children with snoring in the peri-operative period. Methods Five hundred and six children with snoring in the affiliated Shengjing Hospital of China Medical University from January 2013 to December 2014 were enrolled in the study. The clinical data of all children and the nursing measures were analyzed retrospectively during the peri-operative periods to look into psychological nursing, preoperative evaluation and nursing instructions before the surgeries and keeping respiratory tract un-obstructed, bleeding observation, pain nursing and infection prevention. Results The 506 children underwent tonsillectomy with adenoidectomy or simple adenoidectomy . Two patients had hemorrhage after operation and hemostasis was done successfully by surgeries . Conclusion The nursing measures including psychological nursing , preoperative evaluation and health instructions can be critical for ensuring the successful operation and keeping the respiratory tract unobstructed , infection prevention, bleeding observation and pain nursing can be helpful for reducing the postoperative complications and enhance the quality of life.