36例儿童鼾症手术治疗的护理体会.doc

36例儿童鼾症手术治疗的护理体会【摘要】：p 】： 目的 分析p 采用腺样体和或扁桃体摘除术治疗儿童鼾症的护理措施，为儿童鼾症手术的围手术期提供标准有效的护理方法。 方法 回忆性分析p 我院耳鼻喉科20_年2月20_年12月期间采用腺样体和或扁桃体摘除术治疗的36例儿童鼾症患儿的临床护理资料。观察护理效果。 结果 36例本组儿童鼾症患儿在围手术期均采取了心理护理、术前准备、术后体位护理、出血和切口护理、饮食护理、出院指导等多种护理措施后，36例患儿的临床病症较治疗护理前有明显好转，大局部病症均已消失，前后差异相比具有统计学意义P文章编号 2095-061620_14-148-03Nursing e_perience of operative treatment for 36 cases of children with snoring surgery_IAO Caiqun ZHANG Shou_iaYuancheng People"s Hospital， Guangdong， Heyuan 517000， ChinaAbstract Objective To analyze the adoption of taking nursing measures of adenoid and or tonsillectomy in treatment of children with snoring， and to provide a standardized and effective nursing methods for childrens snoring surgery during perioperative period.Methods The clinical nursing materials regarding adoption of adenoid and or tonsillectomy in the treatment of 36 cases of children with snoring admitted to E.N.T department of our hospital from February 20_ to December 20_ were analyzed retrospectively.The nursing effect was observed.Results All the 36 cases of children with snoring in the group were treated with various of nursing measures， such as， psychological nursing， preoperative preparation， postoperative posture nursing， hemorrhage and incision nursing， diet nursing， discharge guidance， etc.All the 36 cases of patient children had no postoperative plications， such as， postoperative incision bleeding， infection， undesirable healing and recurrence of symptoms of snoring， and they were all disc(原文来自：wWW.bDFqy. 千叶 帆文摘:36例儿童鼾症手术治疗的护理体会)harged after recovery.Conclusion Providing standardized， effective and various nursing intervention measures for snoring child patients with surgery indications can effectively improve the surgery treatment， reduce the incidence of surgery plications， shorten the length of stay， and accelerate the recovery of the disease.Key words Children with snoring； Adenoidal hypertrophy； Tonsil； plications； Nursing measures儿童鼾症又称儿童阻塞性睡眠呼吸暂停低通气综合征OSAHS是睡眠时上气道塌陷阻塞引起的呼吸暂停和低通气，通常伴有打鼾、睡眠构造紊乱、频繁发生血氧饱和度下降、白天嗜睡、注意力不集中等，并可能导致高血压、冠心病、2型糖尿病等多器官多系统损害1-2。 儿童鼾症的病因尚不完全清楚，主要原因是腺样体增生和扁桃体肥大3。主要临床表现有睡眠时打鼾、白天嗜睡、记忆力下降、注意力不集中、学习成绩下降、生长发育差等，长期张口呼吸可至上、下颌骨发育不全出现“腺样体面容”4。儿童OSAHS综合征假如没有及时进展有效的治疗将会严重影响儿童正常生长发育和引起智力发育障碍，同时也是诱发儿童分泌性中耳炎、慢性鼻-鼻窦炎、哮喘、支气管炎的主要病因5-6。我科20_年2月 20_年12月期间采用腺样体和或扁桃体摘除术治疗共36例儿童鼾症患儿，在围手术期采取了多种综合护理措施，获得了满意的临床护理效果。现报道如下。第 4 页 共 4 页