鼻咽部手术后冷敷材料与间隔时间探讨  

Study on proper icing material and interval for controlling bleeding after nasopharyngeal surgery

作　　者：韩芬[1] 胡翠红[1] 鲁才红[1] 阮红霞[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院耳鼻咽喉科,湖北武汉430022

出　　处：《护理学杂志》2010年第20期34-35,共2页

基　　金：华中科技大学同济医学院附属协和医院科研基金项目(2008-65)

摘　　要：目的探讨鼻咽部手术后适宜的冷敷材料及间隔时间,增进患者舒适感。方法将236例鼻咽部手术后患者随机分为对照组79例,观察Ⅰ组74例,观察Ⅱ组83例。对照组术后行常规护理,不使用冰袋进行冷敷。观察Ⅰ组将小方巾包裹10%盐水冰袋5～6min,待小方巾冷却后取下三折敷于患者前额或颈部。冷敷的持续时间和间隔时间均为30min。5～10min更换小方巾1次。观察Ⅱ组方法同观察Ⅰ组,冷敷的持续时间和间隔时间分别为30min、1h。分别于手术回病房后30min、1h、2h、3h、4h、5h、6h观察三组患者出血情况。结果三组各时间点出血率比较,差异有统计学意义(均P<0.01),对照组出血率显著高于观察Ⅰ、Ⅱ组(均P<0.0125)。结论冷敷可明显改善鼻咽部手术后患者出血,采用冷却的小方巾冷敷患者感觉舒适,术后冷敷间隔时间30min或1小时均可。Objective To explore proper icing material and interval for controlling bleeding after nasopharyngeal surgery,and to bring more comfort to the patients.Methods Totally,236 patients after nasopharyngeal surgery were randomly divided into a control group,the observation group Ⅰ and the observation group Ⅱ.The control group received routine postoperative care without ice compress.In the observation group Ⅰ,a small piece of towel was used to wrapped the ice bag of 10% saline solution,then the towel was used to compress patients＇ forehead or neck.The duration and the interval in the observation group Ⅰ were both 30 min.The observation group Ⅱ used the same icing method as the observation group Ⅰ,with the icing duration and the interval being 30 min and 1h respectively.Bleeding in the 3 groups were noted 30 min,1 h,2 h,3 h,4 h,5 h,and 6 h after patients＇ return to the ward.Results The incidences of bleeding at every time point among the 3 groups were significantly different（P0.01 for all）,with the control group having the highest bleeding rate（P0.0125 for all）.Conclusion Bleeding after nasopharyngeal surgery can be eased by using a small piece of towel for compression.Interval of ice compress after the operation can be 30 min or 1 h.

关 键 词：鼻咽部手术 冷敷 止血 10%盐水冰袋 小方巾 间隔时间 

分 类 号：R473.76[医药卫生—护理学]