影像导航辅助鼻内镜下慢性鼻-鼻窦炎手术的护理配合  

Nursing cooperation of nasal endoscopic chronic rhino-sinusitis operation aided by image guidance

作　　者：李东娇[1] 赵彦惠[1] 侯磊[1] 赵惠敏[1] 

机构地区：[1]吉林大学第二医院手术室,长春130000

出　　处：《中华现代护理杂志》2016年第36期5281-5283,共3页Chinese Journal of Modern Nursing

摘　　要：目的：探讨影像导航辅助鼻内镜下慢性鼻-鼻窦炎手术的护理配合。方法总结27例影像导航辅助鼻内镜下慢性鼻-鼻窦炎手术的护理配合要点，通过术前访视，完善仪器设备术前准备。巡回护士确保患者体位安全、手术室内人员站位合理布局、仪器设备正常运作、手术资料有效存储并做好术中病情观察及护理记录。器械护士术中手术器械合理使用、准确传递、药物配置准确，并协助手术医师做好术中导航注册配准。结果27例患者均顺利完成手术，未发现视神经损伤、脑脊液鼻漏、颈内动脉出血等严重并发症。结论护理人员专业技术的熟练掌握，仪器设备的有效管理以及术前的充分准备，是确保手术安全实施、顺利完成的重要条件。Objective To explore the nursing cooperation of nasal endoscopic chronic rhino-sinusitis operation aided by image guidance. Methods The main points of 27 cases of nursing cooperation of nasal endoscopic chronic rhino-sinusitis operation aided by image guidance were summarized by preoperative visit and improving apparatus and preoperative preparation. Circulating nurses guaranteed the security of patients′position, appropriate location of staff in the operating room, normal operation of apparatus and valid storage of operation materials. During operation they made an intraoperative disease observation and nursing records accurately. Instrument nurses used surgical instruments during operation reasonably, guaranteed accurate deliveries and medicine allocation and assisted surgeons to make intraoperative navigation, registration and rectification. Results The surgeries of 27 patients were completed successfully. No serious complications including nerve injuries, cerebrospinal rhinorrhea and bleeding of the internal carotid artery were found. Conclusions Skillful grasp of professional skills of nurses, effective management of apparatus and full preoperative preparation are important conditions which guarantee secure implementation and successful completion of surgeries.

关 键 词：鼻炎 鼻窦炎 外科手术 影像导航 鼻内镜 护理配合 

分 类 号：R472.3[医药卫生—护理学]