探索少儿慢性扁桃体炎手术后疼痛的护理体会.doc

探索少儿慢性扁桃体炎手术后疼痛的护理体会 摘要 目的：研究对少儿慢性扁桃体炎术后疼痛的护理方法。方法：将2009年6月-2010年8月我院收治的慢性扁桃体炎患儿共36例。随机分为两组，分别为对照组和研究组，其中对照组采用传统护理，研究组采用疼痛护理，对比两组的术后疼痛发生率。结果：对照组18例患儿中有10例感觉疼痛，5例感觉轻微疼痛，3例未感觉疼痛，疼痛发生率为55.56%；研究组18例患儿中有5例感觉疼痛，9例感觉轻微疼痛，4例未感觉疼痛，疼痛发生率为27.78%；两组对比有统计学差异（P0.05）。结论：对患儿进行指导正确进食、指导保持口腔卫生、观察出血、保持正确体位等传统护理方法的基础上，对患儿及家长讲解疾病知识，并根据患儿不同性格特点采用不同的心理指导等方法可有效缓解慢性扁桃体炎患儿的术后疼痛。 关键词：少儿；慢性扁桃体炎；疼痛；护理 Explore children’s chronic tonsillitis experience from the nursing of pain after surgery Abstract : Objective : Study the nursing experience of children’s chronic tonsillitis experience of pain after surgery . Methods : Select 36 chronic tonsillitis patients between July 2009 and August 2010 in our hospital . Divided them into two groups ,called control group and research group , patients of control group were taken traditional nursing method , while patients of research group were taken pain nursing method , compare incidence of postoperative pain of two groups . Results : 10 patients of control group felt pain , 5 patients felt little pain , while 3 patients never felt pain , the incidence of postoperative pain was 55.56%; 5 patients of research group felt pain , 9 patients felt little pain , while 4 patients never felt pain , the incidence of postoperative pain was 27.78%. The incidence of two groups were statistically difference . (P0.05）. Conclusion : On the basis of traditional nursing methods, such as the correct guidance to eat , guide to maintain oral health , observe the bleeding ,keep the correct position . Explain the knowledge of chronic tonsillitis to children and their parents , using different psychological guidance according to different personality traits can effectively relieve chronic tonsillitis postoperative pain . Key words : children ; chronic tonsillitis ; pain ; nurse 慢性扁桃体炎是由于扁桃体隐窝病毒滋生感染、窝内细菌滋生感染、引流不畅或急性扁桃体炎反复发作而演变而来的。扁桃体炎反复发作，影响患儿的生长发育，及其日常生活，需进行手术治疗。手术患儿常见的问题是术后疼痛[1]。现将我院2009年6月至2010年8月收治的慢性扁桃体炎患儿共36例进行局麻下扁桃体摘除手术，针对术后疼痛采取相关护理，效果满意，现报告如下。 材料与方法 一般资料：2009年6月至2010