快速康复护理模式在小儿扁桃体切除术中的应用  

Application of rapid rehabilitation nursing in pediatric tonsillectomy

作　　者：王瑞云 李群欢[2] 吴军 姚美玉 邱丽君 梁海慧 WANG Rui-yun;LI Qun-huan;WU Jun;Yao Mei-yu;Qiu Li-jun;Liang Hai-hui(Department of Otolaryngology,Zhuhai Hospital of Integrated Traditional Chinese and Western Medicine,Zhuhai 519100,China;Fifth Affiliated Hospital of Sun Yat-sen University,Zhuhai 519100,China)

机构地区：[1]珠海市中西医结合医院耳鼻咽喉科,广东珠海195100 [2]中山大学附属第五医院,广东珠海195100

出　　处：《广东医科大学学报》2019年第6期725-727,共3页Journal of Guangdong Medical University

摘　　要：目的观察快速康复护理模式在小儿扁桃体切除术中应用效果。方法 176例腺样体、扁桃体切除手术患儿随机采用围手术期常规护理(对照组)或快速康复护理(观察组),比较两组手术时间、术中出血量、术后疼痛、临床症状消失时间、住院时间、护理满意度。结果观察组术后疼痛评分、住院时间及临床症状消失时间均低于对照组(P<0.01),护理满意度高于对照组(P<0.05),但两组术中出血量和手术时间差异无统计学意义(P>0.05)。结论围手术期快速康复护理可有效减轻扁桃体手术患儿术后疼痛,缩短住院时间,提高护理满意度。Objective To observe the efficacy of rapid rehabilitation nursing(RRN) in pediatric tonsillectomy. Methods A total of 176 children underwent adenoidectomy and tonsillectomy were randomly treated with perioperative conventional nursing(control group) or RRN(observation group). Operation time, intraoperative blood loss, postoperative pain, symptomatic disappearance time, hospital stay and nursing satisfaction were compared between 2 groups. Results Postoperative pain, hospital stay and symptomatic disappearance time were lower(P<0.01), while nursing satisfaction was higher in observation group compared with control group(P<0.05). There was no significant difference in intraoperative blood loss and operation time between 2 groups(P>0.05). Conclusion Perioperative RRN can effectively reduce postoperative pain, shorten hospitalization time and improve nursing satisfaction in pediatric tonsillectomy.

关 键 词：扁桃体手术 快速康复护理 疼痛 

分 类 号：R276[医药卫生—中医五官科学]