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find Keyword "术后护理" 7 results
  • 心脏瓣膜置换同期应用双极射频消融术治疗心房纤颤患者的术后护理

    摘要:目的:总结54例心脏瓣膜置换同期应用双极射频消融术治疗心房纤颤患者的术后护理经验。方法:除做好瓣膜置换术后常规护理外,重视心律和心率的监测、电解质平衡的维持、应用胺碘酮的观察及护理、起搏器的观察、抗凝监测和健康指导与心理护理。结果:通过严密的监测和精心的护理,本组病例术后恢复良好,术后7~10 d出院。结论:做好心脏瓣膜置换同期应用双极射频消融术治疗心房纤颤患者的术后护理,认真观察患者瓣膜置换、消融术后心房纤颤治疗效果,为此类患者的生命质量提高提供了保证。

    Release date:2016-08-26 03:57 Export PDF Favorites Scan
  • 混合痔外剥内扎术后坐浴方法与切口愈合的相关性研究

    摘要:目的:研究中药苦参汤与高锰酸钾溶液坐浴在混合痔外剥内扎术后的疗效。方法:选择2008年7月至11月符合纳入标准的60例患者,按照随机化方法分为治疗组与对照组,治疗组(30例)予以中药方剂坐浴,对照组(30例)予以高锰酸钾溶液坐浴。记录两者患者疼痛、水肿、出血等症状变化情况、切口愈合天数以及不良反应情况,进行统计学分析,比较两组患者各项症状改善情况。结果:治疗组疼痛、水肿、出血等症状缓解程度优于对照组,切口愈合天数短于对照组,均存在统计学差异(Plt;0.05)。两组患者均未出现不良反应。结论:苦参汤坐浴较高锰酸钾溶液坐浴,能更有效地改善术后疼痛、水肿、出血等常见临床症状,缩短切口愈合时间。

    Release date:2016-08-26 03:57 Export PDF Favorites Scan
  • 肛瘘手术前后的护理体会

    目的 探讨肛瘘患者手术前后护理的重要性。 方法 将2012年3月-6月行肛瘘手术的140例患者随机分为观察组及对照组:对照组行常规护理措施,观察组采取整体护理措施(包括术前准备,术后创口疼痛、出血、尿潴留、晕厥与呕吐、饮食与排便、坐浴与换药的护理,出院指导),并对两组患者健康教育内容评分、护理满意度及自我护理能力评分进行分析比较。 结果 观察组在健康教育内容评分、护理满意度及自我护理能力评分方面优于对照组。 结论 对肛瘘手术患者采用整体护理措施,提高了手术前后健康教育质量及患者自我护理能力,值得临床运用。

    Release date:2016-09-07 02:38 Export PDF Favorites Scan
  • 侧颅底肿瘤术后并发症的观察及护理

    【摘要】 目的 总结侧颅底肿瘤术后并发症的观察及护理经验。 方法 对2005年4月-2011年1月接受侧颅底肿瘤手术的36例患者的护理方法及特点进行回顾性分析。 结果 36例患者中发生并发症5例,发生率为13.8%,其中脑脊液漏2例,面瘫2例,局部感染1例,经精心治疗和护理后全部好转出院。 结论 术前正确评估病症,术中谨慎操作,术后严密观察病情及精心护理,是患者获得康复重要因素。

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
  • Clinical Nursing Care for Patients with Transcatheter Aortic Valve Implantation in Coronary Care Unit

    ObjectiveTo study the nursing methods for patients after transcatheter aortic valve implantation (TAVI). MethodsFrom April 2012 to August 2013, 25 patients undergoing TAVI before returning to the coronary care unit (CCU) were included in this study. We reviewed the clinical nursing methods and summarized the clinical nursing experiences. ResultsAmong the 25 patients, there were 1 case complicated with retroperitoneal hematoma, 1 case with hemorrhage of upper digestive tract, 1 case with severe hemorrhage of femoral artery incision site, 1 case with mild hemorrhage of femoral artery puncture site, 1 case with catheter-related infections of right external jugular vein, and 2 cases with hemorrhage related to the loosening of radial artery invasive blood pressure monitoring. All the complications were controlled by reasonable treatments and all the patients were transferred out from CCU with stable vital signs. The mean time of CCU stay was 29 hours ranging from 14 hours to 243 hours. ConclusionDue to special characteristics of patients after TAVI, we should observe carefully, follow the nursing operation rules strictly, discover complications timely, give treatment correctly, and finally ensure the safety of patients during the high risk period.

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  • Nursing Observation and Intervention of Extrahepatic Bile Duct Stones with Gallstones Treated with Electronic Duodenoscopic Sphincterotomy Combined with Laparoscopic Cholecystectomy

    ObjectiveTo investigate the importance of nursing observation and intervention for extrahepatic bile duct stones with gallbladder stones treated by electronic duodenoscopic sphincterotomy (EST) combined with laparoscopic cholecystectomy (LC). MethodsFrom July 2011 to February 2014, 157 patients with extrahepatic bile duct stones with gallbladder stones underwent EST and LC at the same time in our department. Combined with the surgery characteristics, we focused on the close observation and nursing of postoperative complications and drainage tubes for patients' timely recovery. ResultsOne patient with duodenal diverticulum papilla did not complete EST and LC surgery, which was then transformed to LC, bile duct incision and choledochoscopy with T tube drainage. All the remaining 156 patients completed endoscopic retrograde cholangio-pancreatography and LC with a completion rate of 99.36%. Under close observation and careful nursing care, this group of patients did not have duodenum perforation, bile leakage or other complications. No patient died. Seven to thirteen days after hospitalization, all the patients were cured and discharged from the hospital. ConclusionFor patients undergoing EST and LC at the same time, observation and timely intervention are very important in reducing serious complications, improving the quality of surgery, enhancing patients' comfort, and promoting postoperative recovery.

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  • 尿道下裂术后伤口敷料包扎新方法的效果观察与护理

    目的 探讨尿道下裂矫治术后伤口敷料包扎新方法的临床效果。 方法 将 2015 年 9 月—2016 年 3 月 80 例拟行尿道下裂矫治术的患儿按入院床位的单双号分为对照组和研究组,每组各 40 例。术后对照组采用传统的尿道下裂手术敷料包扎方式将阴茎直立包扎,研究组采用新的包扎方式让阴茎贴近下腹壁包扎。观察比较两组患儿每次伤口换药耗费的时间和出血量、伤口感染发生率和患儿家属的焦虑评分。 结果 研究组与对照组每次换药时耗费的时间分别为(21.80±2.54)、(21.45±2.65)min,差异无统计学意义(t=0.614,P=0.541)。研究组与对照组每次换药时伤口出血量分别为(0.74±0.62)、(0.82±0.87)mL,差异亦无统计学意义(t=–0.517,P=0.607)。研究组伤口感染 3 例,伤口感染率为 7.5%;对照组伤口感染 2 例,伤口感染率为 5.0%,两组比较差异无统计学意义(χ2=0.213,P=0.644)。研究组与对照组患儿家属的焦虑评分分别为(1.90±0.11)、(2.50±0.12)分,差异有统计学意义(t=–4.088,P<0.001)。 结论 尿道下裂敷料包扎的新方法可提升患儿的舒适度,敷料不易松脱,尿管不易打折,护理更方便,减轻了患儿家属的焦虑,值得推广。

    Release date:2017-10-27 11:09 Export PDF Favorites Scan
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