改进术前护理对全鼻窦炎术中出血影响效果研究.docVIP

改进术前护理对全鼻窦炎术中出血影响效果研究 　　【摘要】 目的 研究改进术前护理对全鼻窦炎术中出血的影响效果。方法 80例全鼻窦炎患者， 按照硬币法随机分为实验组（给予改进术前护理）和常规组（给予常规鼻科护理）， 各40例。比较两组术中、术后情况。结果 实验组手术时间为（40.5±10.4）min， 术中出血量为（121.5±5.5）ml， 住院时间为（5.9±0.6）d；常规组手术时间为（70.3±11.4）min， 术中出血量为（264.2±6.5）ml， 住院时间为（12.5±2.2）d； 　　实验组手术时间、术中出血量、住院时间均优于常规组， 差异均具有统计学意义 （P0.05）。实验组患者仅1例出现眼眶血肿， 并发症发生率为2.5%；常规组患者中出血性休克、脑脊液鼻漏各2例， 眼眶血肿4例， 并发症发生率为20.0%；实验组并发症发生率明显低于常规组， 差异有统计学意义（P0.05）。结论 改进术前护理有利于减少全鼻窦炎术中出血量， 缩短手术时间和康复时间， 值得临床借鉴和应用推广。 　　【关键词】 全鼻窦炎；术前护理；术中出血 　　DOI：10.14163/j.cnki.11-5547/r.2016.32.076 　　【Abstract】 Objective To research influencing effect by modified preoperative nursing on intraoperative hemorrhage of pansinusitis. Methods A total of 80 patients with pansinusitis were randomly divided into experimental group （received modified preoperative nursing） and conventional group （received conventional nasal nursing）， with 40 cases in each group. Comparison was made on intraoperative and postoperative condition between the two groups. Results The experimental group had operation time as （40.5±10.4） min， intraoperative bleeding volume as （121.5±5.5） ml， and hospital stay time as （5.9±0.6） d. The conventional group had operation time as （70.3±11.4） min， intraoperative bleeding volume as （264.2±6.5） ml， and hospital stay time as （12.5±2.2） d. 　　The experimental group had all better operation time， intraoperative bleeding volume and hospital stay time than the conventional group， and the differences all had statistical significance （P0.05）. The experimental group had 1 case with hematoma of orbit， with incidence of complications as 2.5%. The conventional group had 2 cases with hemorrhagic shock， 2 cases with cerebrospinal fluid rhinorrhea， and 4 cases with hematoma of orbit， with incidence of complications as 20.0%. The experimental group had much lower incidence of complications than the control group， and the difference had statistical significance （P0.05）. Conclusion Modified preoperative nursing is beneficial in reducing intraoperative h