先天性喉蹼（声门后1／4型）1例

1临床资料患者男，50岁，声嘶数十年伴有时上呼吸道感染后出现憋气，此次因咽痛不适，咳痰3d后出现憋气1h于2009年10月来本院，门诊以“急性会厌炎、喉梗阻”收入院，入院检查：一般情况好，咽黏膜轻度充血，扁桃体不大，间接喉镜检查：会厌充血，无明显肿胀，劈裂轻肿胀，声门看不见。给予以下治疗：吸氧；布地奈德气雾剂（普米克）2mg雾化吸入；达立新3．0、氟美松10mg静脉滴注；粘液促排剂沐舒坦20mg静滴，

Effect of comfort care on pain and psychological obstacle of patiens after tenolysis

Objective To explore the effect of comfort care on pain and psychological obstacle of patients after tenolysis. Methods 68 cases that underwent tenolysis were randomly divided into the experimental group （n = 38） and control group （n = 30）. The control group received routine nursing care and the experimen-tal group were increased comfort care technique,then observe the degree of pain and the mental state of the patients. Results There was significant difference in the degree of pain between the two groups（P 0. 01）. On the first day after operation,The case＇s scores of SCL-90 were significant difference with domestic norm（P 0. 01）. On the first day and the eighth day,the scores of SCL-90 in the experimental group were significant difference （P 0. 01）,and there was no significant difference in the control group （P 0. 05）. Conclusion Comfort care can reduce pain and improve psychological obstacle of patients after tenolysis,enhance quality of care,conduce to rehabilitation training and decrease anew adhesion of tendon after tenolysis.