摘要
目的 探讨综合护理在颈动脉体瘤切除术患者围手术期中的应用价值。方法 选取2016年6月至2020年6月间上海市第七人民医院收治的105例颈动脉体瘤患者,依据术后护理方式不同分为观察组52例和对照组53例。入院均行颈动脉体瘤切除术,对照组患者采用常规围手术期护理干预,观察组患者在对照组基础上采用围手术期综合护理干预,比较两组患者术后并发症发生情况和护理满意度。结果 两组患者围手术期均无死亡。对照组患者术后一个月出现声音嘶哑(损伤迷走神经)25例,吞咽困难(损伤舌下舌咽神经)23例,偏瘫20例;随访一年后,有声音嘶哑5例、吞咽困难7例和偏瘫7例。观察组患者术后一个月出现声音嘶哑14例、吞咽困难13例和偏瘫10例。随访一年后,仅有1例患者存在偏瘫,其余均恢复正常。观察组患者护理后恢复效果优于对照组,差异均有统计学意义(均P<0.05)。护理后,观察组患者护理满意度为96.2%,高于对照组的83.0%,差异有统计学意义(P<0.05)。结论 颈动脉体瘤切除术患者围手术期采用综合护理干预有较高的应用价值,可有效减少并发症的发生,提高治愈率,改善生存质量。
Objective To discuss the application value of perioperative comprehensive nursing in patients undergoing carotid body tumor resection. Methods A total of 105 patients with carotid body tumor admitted to Shanghai Seventh People’s Hospital were selected from June 2016 to June 2020. They were categorized into an observation group(52 patients) and a control group(53 patients) based on perioperative nursing approaches. They all underwent carotid body tumor resection. The observation group was given perioperative comprehensive nursing and the control group was given perioperative conventional nursing. The incidence of complications and patient satisfaction were compared between the two groups. Results No patient died during perioperative period. In the observation group, hoarseness(vagus nerve damage) occurred in 14 patients, dysphagia(glossopharyngeal nerve damage) in 13 patients and hemiplegia in 10 patients one month after operation. After 1-year follow-up, only 1 patient still had hemiplegia and the rest had returned to normal. In the control group, hoarseness occurred in 25 patients, dysphagia in 23 patients and hemiplegia in 20 patients one month after operation. After 1-year follow-up, 5 patients had hoarseness, 7 had dysphagia and 7 had hemiplegia. The efficacy of nursing was better in the observation group than in the control group(P<0.05). After surgery, patient satisfaction rate was 96.2% in the observation group, which was significantly higher than 83.0% of the control group(P<0.05). Conclusion Perioperative comprehensive nursing has significant application value. It can effectively reduce the incidence of complications, improve cure rate and quality of life in patients undergoing carotid body tumor resection.
作者
蔡妮
金咏梅
赵滨
时扣荣
范伟
樊荣
刘娟
CAI Ni;JIN Yong-mei;ZHAO Bin;SHI Kou-rong;FAN Wei;FAN Rong;LIU Juan(Department of General Surgery,Shanghai Seventh People's Hospital,Shanghai 200137,China;Department of Pharmacy,Shanghai Seventh People's Hospital,Shanghai 200137,China)
出处
《中国肿瘤临床与康复》
2022年第6期762-765,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
基金
上海市卫生和计划生育委员会科研课题(201840338)。
关键词
综合护理
颈动脉体瘤切除术
围手术期
Comprehensive nursing care
Carotid body tumor resection
Perioperative period
