摘要
目的探讨鼻内窥镜下微波治疗顽固性鼻出血患者的护理干预效果。方法将2013年6月至2014年5月我科收治的120例顽固性鼻出血患者的临床资料及鼻内窥镜下微波治疗前后的护理措施进行了总结与回顾性分析。结果本组患者经有效治疗与护理，出血症状均得到控制，无一例出现并发症，且全部治愈出院。其中113例患者为一次鼻内窥镜下微波止血成功，另7例患者为二次治疗成功。但本组术后因年龄、性别等不同，大多患者存在疼痛感，出现轻度疼痛有91例（75．8％）、中度疼痛29例（24．2％），通过对症治疗和护理，患者疼痛症状明显消失，患者住院时间平均为5天。经随访6个月，未见患者继续出血或渗血等发生。结论鼻内镜下微波手术治疗顽固性鼻出血，具有安全有效、止血快、术后并发症少、微创手术时间短等优点，因此加强鼻内窥镜下治疗顽固性鼻出血患者术前与术后的有效护理干预，可明显提高患者的舒适度，促进其早日恢复。
Objective To explore therapeutic effect of nursing intervention under nasal endoscopic microwave in patients with refractory nasal bleeding. Methods 120 patients admitted in our department from June 2013 to May 2014 under nasal endoscopic microwave therapy and nursing measures data were retrospectively analyzed. Results With effective treatment and nursing intervention, all patients were cured and discharged from hospital, including 113 cases of successful nasal endoscopic hemostatic, other 7 eases as secondary treatment success. Bleeding symptoms were controlled and no complication was found, but due to different ages and gender, most of the patients had pain including mild postoperative pain of 91 cases （75.8%）, moderate pain of 29 cases （24.2%）, after symptomatic treatment and nursing, pain symptoms disappeared obviously. The average hospital stay was 5 days, and no continuous bleeding or errhysis were found in the follow-up for 6 months. Conclusion Microwave treatment under nasal endoscopy for refractory nasal bleeding, has advantages such as safe and effective, quick stop bleeding, less postoperative complication and shorter time of minimally invasive surgery, etc. Thus, strengthening the effective preoperative and postoperative nursing intervention care for patients, can significantly improve their comfort level and promote their early recovery.
出处
《国际医药卫生导报》
2014年第19期3039-3042,共4页
International Medicine and Health Guidance News
关键词
鼻内窥镜
微波治疗
顽固性鼻出血
护理干预
Nasal endoscopic
Microwave treatment
Nasal bleeding
Nursing intervention
