舒适训练联合纳吸棉在慢性鼻-鼻窦炎手术加速康复外科中的应用  

Application of comfort training combined with nasopore in enhanced recovery after surgery forchronic rhinosinusitis

作　　者：李文君[1] 蒋仁莲[1] 吴修建[1] 曾毅文 白攀峰 LI Wenjun;JIANG Renlian;WU Xiujian;ZENG Yiwen;BAI Panfeng(Yongchuan Hospital Affiliated of Chongqing Medical University,Chongqing 402160 China)

机构地区：[1]重庆医科大学附属永川医院,重庆402160

出　　处：《护理研究》2020年第6期1006-1009,共4页Chinese Nursing Research

摘　　要：[目的]探讨舒适训练联合纳吸棉在慢性鼻?鼻窦炎手术加速康复外科中的应用效果.[方法]将2018年3月—2018年12月在重庆某三级甲等综合性医院住院的200例慢性鼻-鼻窦炎病人随机分为4组,每组50例.A组采用舒适训练联合纳吸棉干预,B组采用舒适训练联合止血海绵干预,C组仅采用纳吸棉干预,D组仅采用止血海绵干预.术后24 h采用视觉模拟量表对病人疼痛、鼻腔阻塞、口咽干燥、入睡困难症状严重程度进行测评.[结果]A组与C组比较,A组病人疼痛、鼻腔阻塞、口咽干燥及入睡困难症状较轻;A组与B组比较,A组病人鼻腔阻塞及入睡困难症状较轻;B组与D组比较,B组病人疼痛、鼻腔阻塞、口咽干燥及入睡困难症状较轻;C组与D组比较,C组病人疼痛和鼻腔阻塞症状较轻(均P<0. 05).[结论]在鼻腔填塞材料完全相同情况下,实施舒适训练法的病人与未实施舒适训练法的病人相比,术后疼痛、鼻腔阻塞、口咽干燥及入睡困难有所缓解;无论是否实施舒适训练法,选用纳吸棉作为鼻腔填塞材料的病人比选用止血棉作为鼻腔填塞材料的病人疼痛、鼻腔阻塞、口咽干燥及入睡困难症状均较轻.Objective:To explore application effect of comfort training combined with nasopore in enhanced recovery after surgery for chronic rhinosinusitis. Methods:A totally of 200 inpatients with chronic rhinosinusitis in a third grade A general hospital in Chongqing from March 2018 to December 2018,were randomly divided into 4 groups with 50 inpatients in each group. Group A had intervention with comfort training combined with nasopore. Group B had intervention with comfort training combined with hemostatic cotton. Group C just had intervention with nasopore. And group D had intervention with hemostatic cotton. Visual Analogue Scale was used to evaluate severity of postoperative pain,nasal congestion,oropharyngeal dryness and difficulty falling asleep of inpatients at 24 hours after operation. Results:Compared with group C,symptoms of postoperative pain,nasal congestion,oropharyngeal dryness and difficulty falling asleep were milder in group A. Compared with group B,symptoms of nasal congestion and difficulty falling asleep were milder in group A. Compared with group D,symptoms of postoperative pain,nasal congestion,oropharyngeal dryness and difficulty falling asleep were milder in group B. Compared with group D,symptoms of postoperative pain and nasal congestion were milder in group C(all P< 0. 05). Conclusion:Under the premise of same nasal packing materials,patients with comfort training have milder symptoms of postoperative pain,nasal congestion,oropharyngeal dryness and difficulty falling asleep than those without comfort training. No matter whether receiving comfort training or not,patients with nasopore as packing materials of nasal cavit may have milder symptoms of postoperative pain,nasal congestion,oropharyngeal dryness and difficulty falling asleep than those with hemostatic cotton as packing materials of nasal cavity.

关 键 词：舒适训练 纳吸棉 止血棉 慢性鼻-鼻窦炎 加速康复外科 

分 类 号：R473.76[医药卫生—护理学]