鼻内镜下腺样体切除术后涂布罗哌卡因的临床观察及护理
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摘要
目的探讨鼻内镜下腺样体切除术后患儿涂布罗哌卡因的临床效果,并予以针对性护理措施。方法方便选取该院在2015年1月—2018年1月收治的80例鼻内镜下腺样体切除术后患儿,术后均给予综合护理措施,将其随机分为研究组和对照组,各为40例,研究组患儿术后均涂布罗哌卡因,对照组患儿术后未给予镇痛药物,比较两组镇痛效果及护理满意度。结果研究组患儿术后镇痛优良率(87.5%)高于对照组(55.0%),差异有统计学意义(χ~2=7.614,P<0.05);研究组患儿哭闹至安静时间(6.5±3.1)min显著短于对照组患儿(24.6±3.9)min,差异有统计学意义(t=6.282,P<0.05);研究组患儿家属满意度97.5%显著优于对照组75.0%,差异有统计学意义(χ~2=4.386,P<0.05);研究组患儿安静睡眠率95.0%显著优于对照组25.0%,差异有统计学意义(χ~2=12.523,P<0.05)。结论对鼻内镜下腺样体切除术后患儿涂布罗哌卡因,并结合综合护理干预,可显著缓解术后疼痛,减少患儿哭闹,镇痛效果良好,提高家属满意度高及患儿安静睡眠率,值得临床推广。
Objective To investigate the clinical effect of ropivacaine in children after adenoidectomy under nasal endoscopy and to provide targeted nursing measures. Methods Eighty patients with adenoidectomy underwent endoscopic sinus surgery from January 2015 to January 2018 were convenient enrolled. All patients were given comprehensive nursing measures after surgery. They were randomly divided into study group and control group. There were 40 cases in each group.The patients in the study group were treated with ropivacaine. The children in the control group were given no analgesic drugs after operation. The analgesic effect and nursing satisfaction of the two groups were compared. Results The excellent rate of postoperative analgesia in the study group(87.5%) was higher than that in the control group(55.0%). The difference was statistically significant(χ~2=7.614, P<0.05). The children in the study group were crying to quiet time(6.5±3.1)min was significantly shorter than the control group(24.6±3.9) min, the difference was significant(t=6.282, P<0.05); the satisfaction of the family members in the study group was 97.5% significantly better than the control group 75.0%, with significant difference,(χ~2=4.386, P<0.05); the quiet sleep rate of the study group was 95.0% significantly better than the control group25.0%, the difference was significant(χ~2=12.523, P<0.05). Conclusion The application of ropivacaine in patients after adenoidectomy under nasal endoscopy combined with comprehensive nursing intervention can significantly alleviate postoperative pain, reduce crying of children, have good analgesic effect and improve family satisfaction, and the quiet sleep rate of children is worthy of clinical promotion.
Objective To investigate the clinical effect of ropivacaine in children after adenoidectomy under nasal endoscopy and to provide targeted nursing measures. Methods Eighty patients with adenoidectomy underwent endoscopic sinus surgery from January 2015 to January 2018 were convenient enrolled. All patients were given comprehensive nursing measures after surgery. They were randomly divided into study group and control group. There were 40 cases in each group.The patients in the study group were treated with ropivacaine. The children in the control group were given no analgesic drugs after operation. The analgesic effect and nursing satisfaction of the two groups were compared. Results The excellent rate of postoperative analgesia in the study group(87.5%) was higher than that in the control group(55.0%). The difference was statistically significant(χ~2=7.614, P<0.05). The children in the study group were crying to quiet time(6.5±3.1)min was significantly shorter than the control group(24.6±3.9) min, the difference was significant(t=6.282, P<0.05); the satisfaction of the family members in the study group was 97.5% significantly better than the control group 75.0%, with significant difference,(χ~2=4.386, P<0.05); the quiet sleep rate of the study group was 95.0% significantly better than the control group25.0%, the difference was significant(χ~2=12.523, P<0.05). Conclusion The application of ropivacaine in patients after adenoidectomy under nasal endoscopy combined with comprehensive nursing intervention can significantly alleviate postoperative pain, reduce crying of children, have good analgesic effect and improve family satisfaction, and the quiet sleep rate of children is worthy of clinical promotion.
引文
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[12]周珊,文江帆,梁胜凤,等.右美托咪定复合罗哌卡因用于切口局部浸润对小儿术后镇痛效果的影响[J].实用医学杂志,2016,32(23):3932-3933.
[2]刘小华.小儿扁桃体腺样体摘除术后逐步开放饮食的护理干预研究[J].临床医药文献电子杂志,2017,4(39):7655.
[3]玉敏,何迪.微创等离子消融术治疗儿童扁桃体腺样体肥大的护理方法[J].实用临床护理学电子杂志,2017,2(14):138+141.
[4]唐倩.小儿全麻下行扁桃体及腺样体切除术后麻醉恢复期的护理[J].当代护士,2017(1下旬刊):96-98.
[5]丁小丽.低温等离子射频消融治疗小儿腺样体肥大症的围手术期护理[J].护理与康复,2016,15(6):553-554.
[6]姚凤娟.小儿扁桃体及腺样体切除术后麻醉苏醒期的护理[J].当代护士,2016(2中旬刊):48-49.
[7]肖丽娜.儿童扁桃体腺样体全麻切除术后护理体会[J].医学理论与实践,2014,27(5):679-680.
[8]陈亚如,潘雪芬,樊俭.66例小儿扁桃体及腺样体切除术后麻醉苏醒期的护理[J].全科护理,2013,11(20):1855-1856.
[9]拱玉文.儿童腺样体肥大的术后护理[J].中国民族民间医药,2013,22(2):84.
[10]刘杰.舒适护理在扁桃体腺样体的术后应用[J].中国伤残医学,2015,20(4):102-103.
[11]邱庆琢,任悦义.扁桃体腺样体切除术后镇痛的护理[J].中国社区医师:医学专业,2014,13(31):275.
[12]周珊,文江帆,梁胜凤,等.右美托咪定复合罗哌卡因用于切口局部浸润对小儿术后镇痛效果的影响[J].实用医学杂志,2016,32(23):3932-3933.