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CT引导下经皮穿刺茎乳孔射频热凝治疗面肌痉挛护理分析

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摘要 目的 探讨CT引导下行经皮穿刺茎乳孔射频热凝术治疗面肌痉挛的围术期护理。方法 回顾性分析行CT引导下经皮穿刺茎乳孔射频热凝术的32例面肌痉挛患者的临床资料,总结围术期护理。结果 本组患者术后面肌痉挛完全消失29例(90.6%),3例(9.4%)肉眼不可见抽动但有面肌抽动感觉。均遗留面瘫,随访3个月,于术后第2个月面瘫程度开始减轻。结论 绝大多数患者经过术前充分的沟通及宣教、术中要点动作的配合训练、完善术前准备,术中病情观察与心理护理以及术后饮食、体位与并发症的护理,面肌痉挛完全消失,效果满意。手术安全有效,是面肌痉挛治疗的有效新途径。 Objective To explore the perioperative nursing care of patients with facial spasm treated by CT-guided percutaneous puncture stylomastoid foramen radiofrequency thermocoagulation.Methods The clinical data of 32 patients with facial spasm who underwent CT-guided percutaneous puncture stylomastoid foramen radiofrequency thermocoagulation were analyzed retrospectively,and the perioperative nursing was summarized.Results 29 cases(90.6%)of facial spasm disappeared completely,3 cases(9.4%)had no visible twitch but the sensation of facial twitch.All patients were followed up for 3 months and the degree of facial paralysis began to decrease in the 2nd month after operation.Conclusion The vast majority of patients after adequate preoperative communication and education,intraoperative key movements with training,perfect preoperative preparation,during the operation,the patients'condition observation,psychological nursing,postoperative diet,body position and nursing of complications all made the facial spasm disappear completely,and the effect is satisfactory.The operation is safe and effective.It is a new effective way to treat facial spasm.
出处 《浙江临床医学》 2024年第3期440-441,共2页 Zhejiang Clinical Medical Journal
基金 浙江省医药卫生科技计划项目(2022KY1239)。
关键词 面肌痉挛 经皮穿刺茎乳孔射频热凝 护理 Facial spasm Percutaneous puncture stylomastoid foramen radiofrequency thermocoagulation Nursing
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