论著 Original Article

综合护理用于耳鼻喉手术患者中的临床效果及镇痛作用

Published at: 2017年第37卷第2期

付欣 1
1 哈尔滨医科大学附属第二医院耳鼻喉科,哈尔滨 150081
通讯作者 欣 付 Email: fuxin362@163.com
DOI: 10.3978/j.issn.2095-6959.2017.02.020
基金:

摘要

目的:研究综合护理用于耳鼻喉手术患者中的临床效果及镇痛作用。方法:研究对象选取哈尔滨医科大学附属第二医院2013年6月至2015年12月间行耳鼻喉手术患者124名,采用照随机数字法分为对照组和观察组,两组各62名,对照组患者给予临床常规护理干预,观察组患者在此基础上给予综合护理干预,比较两组患者手术前24 h和术后24,48,72 h的VAS评分和低氧血症、喉头水肿、舌根后坠、误吸肺不张等并发症发生率,同时比较护理满意度及治疗总有效率。结果:观察组的术后24,48,72 h的VAS评分均明显低于对照组(P<0.01),观察组的总并发症率(4.84%)明显低于对照组(19.35%)(χ2=6.14,P=0.01),观察组的总护理满意度(95.16%)明显高于对照组(79.03%)(χ2=7.18,P<0.01),观察组的治疗总有效率(91.93%)明显高于对照组(77.42%)(χ2=5.03,P=0.02)。结论:综合护理用于耳鼻喉手术患者的效果显著,能有效缓解术后疼痛,同时降低并发症发生,提高护理满意度及治疗疗效,是一种高效的护理方案,值得在临床推广。


Clinical effect and analgesic effect of comprehensive care on patients with ENT surgery

Abstract

Objective: To study the clinical effect and analgesic effect of comprehensive nursing for patients with ENT surgery. Methods: The subjects were 124 cases ENT surgery patients in Second Affiliated Hospital of Harbin Medical University from June 2013 to December 2015, and randomly were divided into a control group and an observation group, 62 cases in each group, the control group of patients were given routine nursing intervention, on this basis, the observation group of patients were given comprehensive nursing intervention, the VAS scores in preoperative 24 h and postoperative 24, 48, 72 h, the nursing satisfaction, total effective rate and the incidence of complications such as hypoxemia, laryngeal edema, tongue retropulsion, aspiration, pulmonary atelectasis, etc. were compared. Results: The VAS scores in postoperative 24, 48, 72 h of the observation group were significantly lower than those of the control group (P<0.01), the total complication rate of the observation group (4.84%) was significantly lower than that of the control group (19.35%) (χ2=6.14, P=0.01); the nursing satisfaction of the observation group (95.16%) was significantly higher than that of the control group (79.03%) (χ2=7.18, P<0.01), the total effective rate of the observation group (91.93%) was significantly higher than that in the control group (77.42%) (χ2=5.03, P=0.02). Conclusion: Comprehensive nursing for patients with ENT surgery has significant effect, which can effectively relieve postoperative pain, reduce the incidence of complications, improve nursing satisfaction and treatment efficacy. It is worth in clinical promotion.


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引用

引用本文: 欣 付. 综合护理用于耳鼻喉手术患者中的临床效果及镇痛作用[J]. 临床与病理杂志, 2017, 37(2): 339-344.
Cite this article as: FU Xin . Clinical effect and analgesic effect of comprehensive care on patients with ENT surgery[J]. Journal of Clinical and Pathological Research, 2017, 37(2): 339-344.