重度感音聋患儿人工耳蜗植入术前心电图检查失败原因分析及护理对策  

Severe Sensorineural Hearing Loss in Children with Cochlear Implants Causes of the Failure before the ECG and Nursing

作　　者：于莉[1] 刘伟萍[1] 李爱军[1] 

机构地区：[1]首都医科大学附属北京同仁医院干部医疗科,北京100730

出　　处：《中国医药导刊》2013年第11期1881-1882,共2页Chinese Journal of Medicinal Guide

摘　　要：目的：探讨重度感音聋患儿人工耳蜗植入术前心电图检查失败的原因和制定相应的护理对策的措施。方法：回顾性分析我院2011年2月-2012年2月期间收治行人工耳蜗植入术重度感音聋患儿428例（男236例，女192例）术前的临床资料和心电图，统计、分类及分析重度感音聋患儿术前心电图检查失败病例的失败原因，制定相应的护理对策。结果：术前心电图检查一次成功的患儿有188例，占44%；二次成功的患儿有232例，占54.2%；三次成功的患儿有8例，占1.87%；428例中有6例确诊为长QT综合征，不能手术。失败原因：（1）患儿家长及较大患儿对术前心电图检查的必要性及重要性缺乏了解。（2）对心电图检查前服用药物的作用及副作用不了解。（3）环境因素和患儿自身因素。结论：患儿家长遵医行为差，未完全按医嘱对患儿实施对术前心电图检查前的准备；重度感音聋患儿人工耳蜗植入术心电图检查前有针对性对患儿家长及患儿进行护理干预是必要的。Objective：To investigate severe sensorineural hearing loss in children with cochlear implants before ECG failure and develop appropriate nursing measures. Methods：A retrospective analysis of our hospital in February 2011-February 2012 period 428 cases （236males, 192females） with severe sensorineural hearing loss in children with cochlear implants preoperative clinical and ECG data, statistics, analysis and classification severe sensorineural hearing loss in children with preoperative ECG failure cases causes of the failure to develop nursing measures. Results：Preoperative ECG successful children with 188 cases, accounting for 44%;quadratic successful children with 232 cases, accounting for 54.2%;three successful children with eight cases, accounting for 1.87%;6 cases in 428 cases diagnosed with long QT syndrome, inoperable. Failure：（1） children with parents and children on a larger preoperative ECG lack of understanding of the necessity and importance. （2） ECG before taking on the role of drugs and side effects do not. （3） environmental factors and children with their own factors.Conclusion：Compliance behavior of parents of children with poor children is not fully implemented by your doctor right preoperative ECG preparation before;severe sensorineural hearing loss in children with cochlear implants before ECG targeted for parents of children and children with nursing intervention is necessary.

关 键 词：重度感音聋患儿 人工耳蜗植入术 心电图检查 护理对策 

分 类 号：R473.76[医药卫生—护理学]