Endoscopic sinus surgery for chronic sinusitis and Perioperative Care.docVIP

 PAGE \* MERGEFORMAT 9 Endoscopic sinus surgery for chronic sinusitis and Perioperative Care [Keywords:] rhinosinusitis endoscopic surgical care Endoscopic sinus surgery for chronic sinusitis, clear risk factors in reconstruction and rehabilitation on the basis of the nasal cavity and paranasal sinuses of the ventilation and drainage, restoring mucociliary function, is a climate conducive to the nasal cavity, paranasal sinuses functional recovery of minimally invasive surgery [1]. our department in August 2007 ~ May 2009, a total of endoscopic surgery for chronic sinusitis in 358 cases, of which 343 cases were followed up for 6 months after discharge for more than 90% cure rate, clinical satisfactory result. perioperative nursing experience now summarized as follows. 1 Clinical data The patients 358 cases, 234 cases were male, female 124 cases, aged 13 to 80 years, mean age 40.1 years. 2 preoperative preparation 2.1 The psychological care as long course of chronic sinusitis, repeated treatment is poor, patient psychological stress, even anxiety, fear, and we based on the patient’s psychological characteristics of different, good patient and meticulous interpretation and eliminate tension fear enhanced the confidence to overcome the disease, so that in the best mental state for surgery. 2.2 3d guide behavior guidance in patients with preoperative oral breathing exercises to adapt to the situation after double-nasal packing to prevent a cold, so as to avoid surgical infections, and postoperative sneezing. Quit alcohol, to ensure adequate sleep, necessary to give sedatives . 2.3 assist with preoperative preparation of the routine examination to exclude surgical contraindications, nose hair cut the day before surgery, shower, shave, and dinner the day before surgery to patients not eating into too much food to prevent vomiting, surgery, intraoperative morning flushing the nasal cavity, intraoperative luminal sodium IM 0.1g