自制舌系带夹在系带成形术护理中的应用效果分析与探讨.docVIP

精品论文 参考文献 自制舌系带夹在系带成形术护理中的应用效果分析与探讨 陈立蓉 薛莉 黄静 侯丽娟 　　四川省江油市人民医院 四川江油　621700 　　摘要：目的：探讨自制舌系带夹在系带成形术护理中的应用效果。方法 选取120例2014年1月—2015年3月在我科行系带成形术的患儿，随机分为试验组和对照组，每组各60例患者。对照组患儿使用传统的通过患儿家属及护士的强行按压，用舌钳或缝线牵拉固定舌体的方法进行系带成形手术；试验组患儿使用自制舌系带夹固定舌体的方法进行系带成形手术。记录两组患儿手术耗时、护理助手人数、治疗效果并行统计学比较。结果：在手术耗时、护理助手人数、治疗效果等方面，试验组明显优于对照组（Plt;0.05），差异均具有统计学意义（Plt;0.05）。结论：儿童系带成形术护理中使用自制舌系带夹，不仅使手术耗时、护理助手人数明显减少，而且治疗效果满意，有效的提升护理质量和病人满意度。 　　关键词：自制舌系带夹；系带成形术护理；应用效果 　　Abstract：Objective：To explore the application effect of self-made tongue tie clip forming surgery in nursing belt. Methods：120 cases in January 2014 - 2015 march in our department chalaza angioplasty with randomly divided into experimental group and control group，each with 60 cases in each patients. The control group with traditional by children with family members and nurses forcibly pressure，with tongue forceps or suture traction fixed tongue method to undertake chalaza plastic operation；children in the experimental group used self-made tongue tie clip fixed tongue method to undertake chalaza plastic operation. The time consuming，nursing assistant number and treatment effect of the two groups were recorded and compared with the parallel statistics.. Results：in the operation time，the number of nursing assistants，the effect of treatment，the test group was significantly better than the control group（Plt;0.05），the difference was statistically significant（Plt;0.05）. Conclusion：children tie forming perioperative nursing care in the use of homemade tongue tie clip can make the operation time，significantly reduced the number of nursing assistant，and the curative effect is satisfactory，effectively improve the quality of nursing and patient satisfaction. 　　Keyword：homemade tongue tie clip；Frenoplasty nursing；application effect 　　舌系带过短是临床常见的小儿口腔疾病，表现为儿童吐字不清，严重者会导致婴幼儿舌运动受限，甚至导致牙齿排列异常和心理障碍[1]。需行系带成形术。手术虽然简单。但因患儿年龄偏小，术中极度不配合，现临床上没有一种好的器械来解决舌的牵拉和系带的固定，易致术野暴露不清而误伤其它组织引发医疗纠纷。我科经过长期临床实践摸索，就地取材，自行设计了一种可固定并暴露舌系带的工具，定名为舌系带夹。现介绍如下： 　　1.制作过程与使用方法 　　1.1.材料：牙