急性喉梗阻的急救护理与健康指导分析.docVIP

急性喉梗阻的急救护理与健康指导分析 张琼 湖南省人民医院中医耳鼻喉科410005 摘 要 目的研究分析急性喉梗阻的急救护理与健康指导措施、效果。 方法在2013年7月?2015年U月期间木院接收的急性喉梗阻患者中抽取66 例纳入研究，根据入院先后顺序将其分为两组，即观察组和对照组，各组病例数 均为33例，其中对照组予以常规急救护理，观察组施予全面且系统的急救护理， 同时进行健康指导，观察和比较两组患者急救情况和患者满意度。结果观察组 急救有效率为90.9%,患者满意度为93.9%；对照组急救有效率为75.8%,患者 满意度为78.8%,两组数据比较差异明显，具有统计学意义(P均V0.05)o结论 对急性喉梗阻患者予以全面見系统的急救护理和健康指导，可提高急救效果和患 者满意度，有利于患者预后的改善。 关键词 健康指导；急性喉梗阻；急救护理 [Abstract] Objective To study of acute laryngeal obstruction of emergency care and health guidanee measures effect.Methods In July 2013 ? 66 cases included in the study drawn acute laryngeal obstruction in patients with hospital received in November 2015 period, according to the order of admission will be divided into two groups, namely the observation group and the control group, the number of cases in each group were 33 cases, in which the control group received routine emergency care, observation group administered first aid and the system of comprehensive care, while health guidanee, the two groups were observed and compared the emergency situation and patient satisfaction.Results The response rate was 90.9%, first aid, patient satisfaction was 93.9%； control group, the effective rate of 75.8% first aid, patient satisfaction was 78.8%, the differenee was obvious two sets of data, with statistical sign讦icance (P lt;0.05) .Conclusion Be patient with acute laryngeal obstruction comprehensive and systematic emergency care and health guidanee to improve aid effective ness and patie nt satisfactio n, will help to improve the prog nosis of patie nts. Key words］ Healthy guidanee； acute laryngeal obstruct!on； emergency care 所谓急性喉梗阻是指由于喉部或者邻近组织发生病变造成喉腔急性变窄或 者梗阻而引起的呼吸困难，该病常由双侧声带外展性麻痹、喉部炎症、痉挛、过 敏、肿瘤、外伤或者异物等引起［1-2］o临床实践和相关文献报道均表明在急性喉 梗阻的临床治疗中尽快解除患者呼吸困难和呼吸道梗阻症状是关键［3］。本次研 究择取了 33例急性喉梗阻患者作为观察组，施予了全面口系统的急救护理和健 康指导，获得了理想的效果，现将报告汇报如下。 ?研究对象和方法 1.1研究对象 在2013年7月?2015年口月期间本院接收的急性喉梗阻患者中抽取66例 纳入研究，入院患者均存在声音嘶哑、吸气性呼吸困难、缺氧和喘鸣等症状，获 得患者和其家属同意后开展研究。所有患者均满足《耳鼻咽喉■头颈外科学》中 关于喉梗阻的诊断标准［4］。根据住院先后顺序将66例急性喉梗阻患者分为两组, 即观察组33例和对照组33