鼻内窥镜术围控制性降压期的观察与护理配合

目的 探讨控制性降压下内窥镜鼻窦鼻腔手术的护理配合方式,总结积累经验.方法 将80例全麻下行鼻窦内窥镜手术的患者分为控制性降压组及非控制性降压组,回顾性分析其护理配合方法和操作程序.结果 降压效果满意,控制性降压组出血量少于非控制性降压组(P<0.05),输注的液体量少于非控制性降压组(P<0.05),且护理配合得当手术时间明显缩短(P<0.05).结论 控制性降压能明显减少术中出血量及液体输注,从而缩短手术时间,而护理策略应着重于术中的循环、出血量以及术后的呼吸、神经系统的密切观察并协助医师及时处理.

Observation on controlled hypotension during the peri-operation of endoscopic sinus surgery and nursing cooperation

Objective To discuss the mode of nursing cooperation of endoscopic sinus surgery for nasal sinus and nasal cavity under controlled hypotension, and to summary and accumulate the experiences. Methods The method of nursing cooperation and the operation program of 80 cases with endoscopic sinus surgery through the way of moving down the nasal endoscope under whole-anesthetization were retrospectively analyzed. These patients were divided into the controlled hypotension group and the non-controlled hypotension group. Results The effect of decreasing blood pressure was satisfied. The bleeding amount of the controlled hypotension group was smaller than that in the non-controlled hypotension group (P<0. 05). The amount of transfused liquid was smaller than that in the non-controlled hypotension group (P<0. 05). And the operation time was obviously shortened because of proper nursing cooperation. Conclusions Controlled hypotension can obviously reduce the bleeding amount and the transfused liquid during the operation, thereby shortening the operation time. The nursing measures should lay emphasis on the cycle and the bleeding amount during the operation, the breath and close observation of nervous system after the operation, and cooperation with the doctors to timely treat the symptoms.