降温贴冷敷对神经内镜经鼻蝶入路手术患者术后鼻部症状的影响  

Effect of cold compress of cooling paste on postoperative nasal symptoms of patients undergoing neuroendoscopic transsphenoidal approach surgery

作　　者：高红伟[1] 邢娅娜 陆朋玮 赵蕊[1] Gao Hongwei;Xing Ya'na;Lu Pengwei;Zhao Rui(Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;Department of Critical Care Medicine,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院神经外科,北京100070 [2]首都医科大学附属北京天坛医院重症医学科,北京100070

出　　处：《中华现代护理杂志》2022年第23期3160-3164,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨降温贴冷敷对神经内镜经鼻蝶入路手术患者术后鼻部症状的改善效果。方法2019年6月—2020年6月,采用便利抽样法选择在首都医科大学附属北京天坛医院神外肿瘤三病区住院治疗的86例神经内镜经鼻蝶入路手术患者,采用随机区组法分为对照组和观察组,各43例。对照组给予常规围手术期护理;试验组患者于术后给予降温贴冷敷鼻部,首先清洁患者鼻部皮肤,将冷藏后的降温贴贴敷于患者两侧鼻翼至鼻根部,每8小时更换1次,连续使用7 d,如有脱落,立刻进行补贴。使用鼻腔鼻窦结局测量22条(SNOT-22)和舒适度问卷比较两组患者术前、术后24 h及术后7 d的鼻腔鼻窦结局及舒适度情况。结果观察组患者术后24 h的SNOT-22总得分及生理功能、情感结果、功能限制得分均低于对照组,差异有统计学意义(P<0.05)。观察组患者术后7 d的SNOT-22总得分及情感结果、功能限制得分均低于对照组,差异有统计学意义(P<0.05)。观察组术后24 h的舒适度得分高于对照组,差异有统计学意义(P<0.05),但两组术后7 d舒适度得分比较,差异无统计学意义(P>0.05)。结论降温贴冷敷能够有效改善神经内镜经鼻蝶入路手术患者术后24 h的鼻腔鼻窦结局及舒适度。Objective To investigate the effect of cold compress of cooling paste on postoperative nasal symptoms of patients undergoing neuroendoscopic transsphenoidal approach surgery.Methods From June 2019 to June 2020,the convenient sampling method was used to select 86 patients undergoing neuroendoscopic transsphenoidal approach surgery who were hospitalized in the Third Ward of Department of Neurosurgical Oncology in Beijing Tiantan Hospital affiliated to Capital Medical University as the research objects.The patients were divided into the control group and the observation group by the random block method,with 43 cases in each group.The control group was given routine perioperative nursing care.The patients in the experimental group were given cooling paste cold compress on the nose after operation.First,the patients'nasal skin was cleaned,and the refrigerated cooling paste was applied on both sides of the patient's nose alar to the root of the nose and replaced every 8 hours for 7 consecutive days.If it fell off,it was subsidized immediately.The Sino-Nasal Outcome Test-22(SNOT-22)and General Comfort Questionnaire(GCQ)were used to compare the nasal and sinus outcomes and comfort of the two groups before surgery,24 hours after surgery and 7 days after surgery.Results The total score of SNOT-22,physiological function,emotional outcome and functional limitation scores of patients in the observation group were lower than those in the control group at 24 h after operation,and the differences were statistically significant(P<0.05).The total score of SNOT-22,emotional outcome and functional limitation score of the observation group 7 days after operation were lower than those of the control group,and the differences were statistically significant(P<0.05).The comfort score of the observation group at 24 hours after operation was higher than that of the control group,and the difference was statistically significant(P<0.05).But there was no statistically significant difference in the comfort score between the two groups at 7 day

关 键 词：神经外科手术 经鼻蝶入路 冷敷 降温贴 鼻腔鼻窦结局 舒适度 

分 类 号：R473.6[医药卫生—护理学]