儿童与成人单极电凝术切除扁桃体术后护理比较
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摘要
目的探讨儿童与成人单极电凝扁桃体切除术的术后护理特点。方法随机选取2014年12月～2017年12月我科收治的扁桃体切除患者共80例,成人和儿童各40例,分为成人组和儿童组。记录并比较两组术后护理参数(术后体温变化、疼痛评分、术后出血、术后恢复正常进食时间),依据护理参数进行比较分析。结果儿童组和成人组疼痛评分分别为(3.20±1.01)分和(6.11±1.20)分,两组比较差异有统计学意义(P<0.05);儿童组和成人组术后恢复正常进食时间分别为(7.51±1.23)d和(7.30±1.21)d,术后体温分别为(37.21±0.23)℃和(37.17±0.34)℃,两组比较差异均无显著性(P>0.05);两组患者术后原发性出血率和继发性出血率比较差异无显著性(P>0.05)。结论儿童及成人扁桃体单极电凝切除术操作简便、安全可靠,但仍需要合理得当的术后护理合作。
Objective To explore the postoperative nursing characteristics of unipolar electrocoagulation tonsillectomy in children and adults. Methods A total of 80 patients(40 adults and 40 children) with tonsillectomy admitted to our department from December 2014 to December 2017 were randomly selected and divided into adult group and children group. The postoperative nursing parameters(postoperative body temperature change, pain score, postoperative hemorrhage, and postoperative normal feeding time) were recorded and compared, and nursing parameters were analyzed.Results The pain scores in the children group and the adult group were(3.20±1.01) scores and(6.11±1.20) scores, respectively. The difference between the two groups was statistically significant(P<0.05). The normal feeding time in the children group and the adult group was(7.51 ±1.23) d and(7.30±1.21) d, postoperative body temperature were(37.21 ±0.23)°C and(37.17±0.34)°C, respectively; there was no significant difference between the two groups(P>0.05). There was no significant difference in the primary bleeding rate and secondary bleeding rate after operation between the two groups(P>0.05). Conclusion Unipolar electrocoagulation tonsillectomy in children and adults is simple, safe, and reliable, but still requires reasonable postoperative care.
Objective To explore the postoperative nursing characteristics of unipolar electrocoagulation tonsillectomy in children and adults. Methods A total of 80 patients(40 adults and 40 children) with tonsillectomy admitted to our department from December 2014 to December 2017 were randomly selected and divided into adult group and children group. The postoperative nursing parameters(postoperative body temperature change, pain score, postoperative hemorrhage, and postoperative normal feeding time) were recorded and compared, and nursing parameters were analyzed.Results The pain scores in the children group and the adult group were(3.20±1.01) scores and(6.11±1.20) scores, respectively. The difference between the two groups was statistically significant(P<0.05). The normal feeding time in the children group and the adult group was(7.51 ±1.23) d and(7.30±1.21) d, postoperative body temperature were(37.21 ±0.23)°C and(37.17±0.34)°C, respectively; there was no significant difference between the two groups(P>0.05). There was no significant difference in the primary bleeding rate and secondary bleeding rate after operation between the two groups(P>0.05). Conclusion Unipolar electrocoagulation tonsillectomy in children and adults is simple, safe, and reliable, but still requires reasonable postoperative care.
引文
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[14]龚梓明,陈嗣铭,李健传.传统扁桃体剥离术与高频电刀电凝扁桃体切除术的疗效比较[J].海南医学,2012,23(4):41-42.
[15]磨宾宇,戴文斌,孙文忠,等.单极电刀凝切法与等离子刀在儿童扁桃体手术中的效果比较[J].重庆医学,2013,42(34):4173-4174.
[2]何严法,葛步军.镊辅助电凝术凝闭血管的病理及止血效果[J].广州医学,2012,33(6):753-754.
[3]徐景盛,王会河,刘亭彦.单极电凝不同功率切除扁桃体的临床应用[J].中国现代医生,2018,56(8):12-14.
[4]樊亮,邓萍萍,周萍.儿童扁桃体电刀电凝手术与传统手术的比较[J].荆楚理工学院学报,2012,27(4):37.
[5]何引,殷海,刘柏松,等.显微镜下射频消融低温等离子扁桃体切除术的应用研究[J].右江医学,2015,43(1):57-60.
[6]夏力,段汉忠,周长璐,等.低温等离子手术用于儿童扁桃体切除的疗效观察[J].新医学,2011,42(2):107-108,113.
[7]刘桂凤,左艳蕾,代继红.单极电凝术切除扁桃体100例术后护理体会[J].中国现代医生,2018,56(9):153-155.
[8]Park Je Hoon,Kim Sung Eun,Jin Jun Jang,et al.Pentoxifylline Alleviates Perinatal Hypoxic-Ischemia-Induced Short-term Memory Impairment by Suppressing Apoptosis in the Hippocampus of Rat Pups[J].International Neurourology Journal,2016,20(2):275-277.
[9]蒋振华,王杰,董钏,等.CO2激光扁桃体切除术的临床研究[J].临床耳鼻咽喉头颈外科杂志,2010,24(3):119-121.
[10]田永远.低温等离子刀在扁桃体切除术中的临床应用评价[J].中国医药指南,2012,10(34):56-57.
[11]王会河,刘桂凤,徐建华,等.等离子射频消融术、单极电凝术与传统剥离术在扁桃体切除中的临床应用分析[J].临床耳鼻咽喉头颈外科,2016,19(30):1564-1566.
[12]Anna Chudzińska-Parkosadze. Диалог Михаила Булгакова c Иоганном Гете о человеке и его дьяволе(на материале трагедии Фауст и романа Мастери Маргарита)[J].Russian Literature,2017,15(11):90-92.
[13]周永,李雪,谢声权,等.国内扁桃体切除术方法应用状况的调查[J].中国耳鼻咽喉颅底外科杂志,2016,22(6):476-479.
[14]龚梓明,陈嗣铭,李健传.传统扁桃体剥离术与高频电刀电凝扁桃体切除术的疗效比较[J].海南医学,2012,23(4):41-42.
[15]磨宾宇,戴文斌,孙文忠,等.单极电刀凝切法与等离子刀在儿童扁桃体手术中的效果比较[J].重庆医学,2013,42(34):4173-4174.