不同鼻腔填塞方式对功能性鼻内镜手术患者舒适度的影响研究  

Effects of different nasal packing methods on the comfort of patients undergoing functional endoscopic sinus surgery

作　　者：刘伟[1] 李秀雅[2] 肖克珍[2] 李莉[2] Liu Wei;Li Xiuya;Xiao Kezhen;Li Li(Nursing Department,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院护理部,北京100730 [2]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京100730

出　　处：《中华现代护理杂志》2022年第23期3185-3188,共4页Chinese Journal of Modern Nursing

基　　金：首都医科大学附属北京同仁医院科研基金项目(2018-YJJ-HLL-002)。

摘　　要：目的探讨术后鼻腔不同填塞方式对患者舒适状况的影响。方法采用便利抽样法,选取2020年1—8月北京同仁医院耳鼻咽喉头颈外科收治的216例慢性鼻窦炎患者作为研究对象,均在全身麻醉下行功能性鼻内镜手术,根据患者术后鼻腔填塞材料的不同将患者分为填塞纳吸棉组(132例)和填塞硅胶引流管组(84例)。分别于术前1 d、术后4 h采用视觉模拟量表(VAS)对患者进行调查。结果功能性鼻内镜术后,填塞硅胶引流管组患者的面部胀痛得分高于填塞纳吸棉组患者,鼻塞得分低于填塞纳吸棉组患者,差异均有统计学意义(P<0.05);两组患者术后的流涕、嗅觉减退、头痛、耳闷、总体不适感评分比较,差异无统计学意义(P>0.05)。结论慢性鼻窦炎行功能性鼻内镜手术鼻腔填塞的患者,术后应着重关注患者的头痛、嗅觉减退及总体不适感,术后鼻腔填塞硅胶引流管的患者应重点关注头面部胀痛,并保持引流管管通畅;填塞纳吸棉患者应重点关注术后鼻塞症状。Objective To explore the effect of different nasal packing methods on the comfort of patients after operation.Methods From January to August 2020,216 patients with chronic sinusitis who were admitted to the Otolaryngology Head and Neck Surgery of Beijing Tongren Hospital by convenience sampling were selected as the research object.All patients underwent functional endoscopic sinus surgery under general anesthesia.According to the different nasal packing materials,the patients were divided into the nasopore packing group(132 cases)and the silicone drainage tube packing group(84 cases).The patients were investigated with the Visual Analogue Scale(VAS)one day before operation and four hours after operation.Results After functional endoscopic sinus surgery,the score of facial pain in the silicone drainage tube packing group was higher than that in the nasopore packing group,and the score for nasal congestion was lower than that in the nasopore packing group,with statistically significant differences(P<0.05).There were no significant differences in postoperative runny nose,hyposmia,headache,ear stuffiness and overall discomfort scores between the two groups(P>0.05).Conclusions Attention should be paid to postoperative headache,hyposmia,and general discomfort in chronic sinusitis patients undergoing functional endoscopic sinus surgery and nasal packing.The head and face pain in patients with postoperative nasal packing with silicone drainage tube should be paid attention to,and the drainage tube should be kept unobstructed.Patients with nasopore packing should be focused on postoperative nasal congestion symptoms.

关 键 词：功能性鼻内镜手术 鼻腔填塞 舒适度 

分 类 号：R473.76[医药卫生—护理学]