胆脂瘤中耳炎改良乳突根治术护理探讨

赵晓园，罗红丹

（陕西省宝鸡市人民医院，陕西 宝鸡，721000）

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摘要：

目的 探讨胆脂瘤中耳炎改良乳突根治术后的护理措施，并分析护理干预的临床效果。方法 将我院收治的163例接受 胆脂瘤中耳炎改良乳突根治术的患者分为对照组（n=79）和观察组（n=84）。对照组患者给予常规护理，观察组患者在此基础上 给予心理护理、术前训练、感染预防、术后观察及伤口处理等干预措施。对两组患者的护理效果进行比较。结果 术后3天，两组患者的焦虑、抑郁评分均明显低于入院时；且观察组患者焦虑、抑郁评分均明显低于对照组（P<0.05）。观察组患者住院时间明 显少于对照组（P<0.05）。护理后，两组患者的治疗总有效率比较，差异无统计学意义（P>0.05）。两组患者的术后语频气导听力 明显优于术前，差异具有统计学意义（P<0.05）；两组患者术前、术后语频气导听力组间比较，差异均无统计学意义（P>0.05）。观察组术后并发症发生率和患者满意度均明显优于对照组患者（P<0.05）。结论 对胆脂瘤中耳炎改良乳突根治术患者采取积极有效的护理干预，可缓解患者的负性情绪，降低术后并发症的发生率，缩短住院时间，提高治疗满意度，值得临床推广应用。

关键词：改良乳突根治术；中耳炎；语频气导听力

中图分类号：R764.9文献标志码：A文章编号：2096-1413(2017)03-0158-03

Nursing discussion on cholesteatoma otitis media patients treated with modified

radical mastoidectomy
ZHAO Xiao-yuan, LUO Hong-dan
(Baoji People's Hospital, Baoji 721000, China)

ABSTRACT: Objective To explore the postoperative nursing method of cholesteatoma otitis media patients treated with modified radical mastoidectomy, and to analyze the clinical effect of the nursing intervention. Methods One hundred and sixty-three cases of cholesteatoma otitis media patients who treated with modified radical mastoidectomy in our hospital were selected and divided into control group (n=79) and observation group (n=84). The control group accepted routine nursing, while the observation group accepted psychological care, preoperative training, infection prevention, postoperative observation and wound treatment on the basis of routine nursing. The nursing effect of the two groups were compared. Results Three days after operation, the depression and anxiety score of the two groups were lower than those before admission; and the depression and anxiety score of the observation group were lower than those of the control group (P<0.05). The length of hospital stay of the observation group was shorter than that of the control group (P<0.05). There was no significant difference in clinical total effective rate of two groups (P>0.05). After operation, the word frequency air conduction hearing of two groups was better than that before operation (P<0.05), while there was no significant difference between the two groups (P>0.05). The incidence rate of complications and clinical satisfaction rate of the observation group were better than those of the control group (P<0.05). Conclusion Active and effective nursing intervention on cholesteatoma otitis media
patients treated with modified radical mastoidectomy can alleviate negative emotions, reduce the incidence of postoperative complications, shorten hospital stays and improve patients'satisfaction. It worth popularization and application in clinic.

 KEYWORDS: modified radical mastoidectomy; otitis media; word frequency air conduction hearing

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