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不同止血方法在鼻内镜术后换药护理过程中应用
http://www.100md.com 2011年3月1日 侯军华 韩莹
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     【摘要】目的:研究不同止血方法在鼻内镜术后换药护理过程中的应用比较。方法 连续选取120例行双侧鼻窦窦口开大病灶清除术的患者,排除全身器质性病变(如高血压、凝血机能障碍、女性月经期),将其随机分为对照组、药物组、冰敷+药物组。对照组抽出鼻腔填塞物换药后观察记录出血量;药物组:在换药前一小时遵医嘱给予常规肌肉注射注射用血凝酶2ku,然后抽出鼻腔填塞物,观察记录出血量;冰敷+药物组,在换药前半小时给予鼻部局部冰袋冷敷,然后抽出鼻腔填塞物,记录出血量。 结果 药物组、冰敷+药物组出血量均明显低于对照组(P<0.05)。冰敷+药物组出血量明显低于药物组和对照组(P<0.05)。 结论 在鼻内镜术后应用冰敷+药物的止血效果明显优于单独应用药物止血。

    【关键词】止血方法;冰敷;换药;护理;出血量

    【中图分类号】R765.04【文献标识码】A【文章编号】1044-5511(2011)11-0046-01

    【Abstract】Objective Different hemostatic measures of endoscopic sinus surgery in the postoperative nursing care. Method 120 patients who underwent endoscopic sinus surgery, rule out the whole body organic disease (such as high blood pressure, blood coagulation dysfunction, a woman's menstrual period), its were randomized into control, drug group, ice + drug group. Control group: filling out nasal bleeding after change observation records; Drug group: change in one hour before as directed by a physician to conventional injection of hemocoagulase 2 ku, then spare nasal filling, observation records the bleeding; Ice + drug group, in half an hour before the change to local an icepack on the nose, then spare nasal filling, record the bleeding ......

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