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目的研究改进术前护理对全鼻窦炎术中出血的影响效果。方法 80例全鼻窦炎患者,按照硬币法随机分为实验组(给予改进术前护理)和常规组(给予常规鼻科护理),各40例。比较两组术中、术后情况。结果实验组手术时间为(40.5±10.4)min,术中出血量为(121.5±5.5)ml,住院时间为(5.9±0.6)d;常规组手术时间为(70.3±11.4)min,术中出血量为(264.2±6.5)ml,住院时间为(12.5±2.2)d;实验组手术时间、术中出血量、住院时间均优于常规组,差异均具有统计学意义(P<0.05)。实验组患者仅1例出现眼眶血肿,并发症发生率为2.5%;常规组患者中出血性休克、脑脊液鼻漏各2例,眼眶血肿4例,并发症发生率为20.0%;实验组并发症发生率明显低于常规组,差异有统计学意义(P<0.05)。结论改进术前护理有利于减少全鼻窦炎术中出血量,缩短手术时间和康复时间,值得临床借鉴和应用推广。
Objective To study the effect of improving the effect of preoperative nursing on hemorrhage in total sinusitis. Methods Eighty patients with total sinusitis were randomly divided into experimental group (given preoperative nursing) and conventional group (given conventional rhinocerotherapy) according to the coin method, 40 cases in each. The two groups were compared intraoperatively and postoperatively. Results The operation time of the experimental group was (40.5 ± 10.4) min, the intraoperative bleeding volume was (121.5 ± 5.5) ml and the hospitalization time was (5.9 ± 0.6) d. The operation time was 70.3 ± 11.4 min in the conventional group, (264.2 ± 6.5) ml and hospital stay of (12.5 ± 2.2) days. The operation time, intraoperative blood loss and hospital stay in the experimental group were all better than those in the conventional group. The differences were statistically significant (P <0.05). In the experimental group, only one case had orbital hematoma and the complication rate was 2.5%. In the conventional group, hemorrhagic shock, two cases of cerebrospinal fluid rhinorrhea and four orbital hematomas were found, the complication rate was 20.0% The incidence was significantly lower than the conventional group, the difference was statistically significant (P <0.05). Conclusion The improvement of preoperative nursing is conducive to reduce the amount of bleeding during the operation of total sinusitis and shorten the operation time and recovery time, which is worthy of clinical reference and application.