78例鼻眶筛骨折患者的围手术期护理  

Perioperative nursing of 78 naso-orbital-ethmoid fracture patients

作　　者：杨悦[1] 张芳[1] 李楠[1] 

机构地区：[1]北京大学口腔医院口腔颌面外科,北京市100081

出　　处：《中华护理杂志》2014年第12期1459-1461,共3页Chinese Journal of Nursing

摘　　要：鼻眶筛骨折常合并口腔颌面部其他部位骨折，治疗涉及多个学科。本文总结了78例鼻眶筛骨折患者围手术期的护理，术前12例合并脑脊液鼻瘘，10例出现多重耐药菌感染；术后23例患者出现结膜炎，眼部护理3～5d后好转；19例患者术后眶下区感觉麻木，3个月后16例消失，3例好转；26例合并颌骨骨折患者行颌间弹性牵引；术后9例患者复视，眼肌功能训练后8例患者改善。术前重点关注颅脑损伤、复视和有外院治疗经历的患者，术后做好患者的眼部、鼻部及口腔护理，对于复视患者，指导其进行眼肌功能训练。Nasal-orbital-ethmoid fracture is often associated with other parts of oral and maxillofacial fracture and the treatment involves multiple disciplines. This paper summarizes the perioperative nursing of 78 nasal-orbital-ethmoid fracture patients, 12 cases combined with cerebrospinal nasal fistula,10 cases combined with multi drug resis- tant bacteria infection. After operation,23 patients suffered from conjunctivitis and got better after eye care for 3 to 5 days;19 cases complained infraorbital region anaesthesia and the symptom disappeared after 3 months in 16 cases;26 patients complicated with jaw bones fracture were treated with intermaxillary elastic traction;9 patients complained diplopia and the symptom was relieved in 8 patients after eye muscle training. Preoperative care focused on patients with craniocerebral injury and diplopia,while postoperative care focused on ocular,nasal and oral care, as well as rehabilitation training for patients with diplopia.

关 键 词：鼻眶筛骨折 围手术期护理 

分 类 号：R473.76[医药卫生—护理学]