鼻内镜下鼻窦术后出院患者实施规范化延续护理的效果

Effects of standardized extended care on the patients after endoscopic sinus surgery

目的：探讨对鼻内镜下鼻窦术后出院患者实施规范化延续护理的效果。方法选取2012年1月-2013年1月收治的鼻内镜下鼻窦炎鼻息肉手术患者80例，按照随机数字分组法分为观察组和对照组各40例，对照组采取常规护理及出院指导，观察组给予规范化延续护理措施，比较两组干预效果。结果观察组治疗有效率为97．5％，对照组为85．0％，两组比较差异有统计学意义（χ2＝2．23，P＜0.05）。观察组发生鼻腔粘连2例，发生率为5．0％；对照组发生鼻腔粘连6例，上颌窦口狭窄1例，眶内出血1例，并发症发生率为20．0％，两组比较差异有统计学意义（χ2＝3．45，P＜0．05）。结论对鼻内镜下鼻窦术后出院患者实施规范化延续护理可有效提高患者治疗有效率，减少并发症发生，值得临床推广应用。

Objective To investigate the effect of standardized extended care on the patients after endoscopic sinus surgery .Methods Eighty cases after endoscopic sinus surgery , from January 2012 to January 2013 , were randomly divided into treatment group and control group , with 40 cases each .The control group was taken the usual care and discharge guidance , and the treatment group was given the standardized extended care . Results The effective rate of the treatment group and the control group were 97.5% and 85.0%.There was significant difference between groups （χ2 =2.23,P 〈0.05）.2 cases in the treatment group occurred nasal adhesions, with a complication rate of 5.0%.In the control group, 6 cases occurred nasal adhesions;1 case occurred maxillary sinus stenosis; 1 case occurred orbital hemorrhage , with a complication rate of 20.0%. There was significant difference between groups （χ2 =3.45,P =0.561）.Conclusions The standardized extended care can significantly improve patient treatment efficiency and reduce complications .It is worthy of clinical application .