肾病综合征复发患儿扁桃体切除术护理.docVIP

肾病综合征复发患儿扁桃体切除术护理 　　[摘要] 目的 探讨肾病综合征复发患儿行扁桃体切除术的护理经验。 方法 将伴慢性扁桃体炎的肾病综合征复发患儿随机分为干预组和对照组， 比较术后并发症，分析随访1年后患者转归。 结果 干预组术后出血及肾脏激惹现象显著少于对照组，差异有统计学意义（P＜0.05）；随访1年后干预组、对照组和非手术组患者总有效率比较，差异有统计学意义（P＜0.05）。 结论 行扁桃体切除术可有效降低肾病综合征的复发率，做好术后护理，可降低手术并发症，有利于患儿的康复。 　　[关键词] 肾病综合征；扁桃体炎；扁桃体切除术；护理 　　[中图分类号] R692 [文献标识码] B [文章编号] 1673-9701（2012）01-111-02 　　 　　The nursing experience of tonsillectomy in the children with nephrotic syndrome 　　CAI Minhua1 LV Huihui2 　　1.Department of Intervention,the First Peoples Hospital of Wenling City in Zhejiang Province, Wenling 317500, China; 2.Department of Thoracic Surgery,the First Peoples Hospital of Wenling City in Zhejiang Province, Wenling 317500, China 　　 　　[Abstract] Objective To discuss on the recurrent efficacy of tonsillectomy in the children who suffered chronic tonsillitis and nephrotic syndrome, and summarized the nursing experience. Methods The patients suffered chronic tonsillitis and nephrotic syndrome were randomly divided into the intervention group and the control group, and patients refused operation were included in this study to analysis of efficacy of tonsillectomy. Comparison of postoperative complications, compared the prognosis of the patients after 1 year follow-up. Results There was significantly less postoperative complications, such as bleeding and kidney irritation phenomenon in the intervention group than that in the control group (P＜0.05); After 1 year follow-up, the patients accepted the tonsillectomy got the significant total efficiency than that refused operation （P＜0.05）. Conclusion Tonsillectomy could effectively reduce the nephrotic syndrome relapse rate, fine postoperative care could reduce operation complication and be conducive to the rehabilitation of patients. 　　[Key words] Nephrotic syndrome; Tonsillitis; Tonsillectomy; Nursing 　　 　　小儿肾病综合征是一组由多种原因引起的肾小球基膜通透性增加、导致血浆内大量蛋白质从尿中丢失的临床综合征[1，7]。慢性扁桃体炎是肾病综合征患者常见的感染合并症,它不仅是肾脏病发生的重要病因, 也是导致肾病迁延不愈的因素之一。扁桃体切除可能会导致“激惹现象”[2], 即血尿、蛋白尿加重, 尤其是对于肾病综合征患儿需长期使用糖皮质激素，