唇裂整复术后并发症原因及护理干预效果评价

Evaluation of the effect and the causes of complications of nursing intervention of postoperative cleft lip repair

目的探寻预防和降低唇腭裂术后并发症的有效护理措施。方法对我院五官科2011年收治的唇腭裂患者术后并发症的种类、原因进行统计分析,对其诱因制定针对性的护理干预措施,并对2012年住院治疗的唇腭裂手术患者实施预防性干预措施,统计分析唇腭裂患者术后并发症发生率。结果唇腭裂患者术后并发症主要为出血、伤口感染、喉头水肿、复裂、吸入性肺炎;唇腭裂患者术后并发症的主要诱因有患儿体质弱、患儿行为管控力差、手术问题、护理不到位等;实施护理干预后,观察组患儿术后并发症的发生率明显低于对照组(P<0.05)。结论唇腭裂术后并发症虽然影响因素多,危害大,但其可防、可控,只要对其认识到位,高度重视,做好重点环节和部位的护理干预,即可大大降低术后并发症的发生率。

Objective To explore the effective nursing measures of preventing and reducing the postoperative corn plications o{ cleft lip and palate. Methods Types, causes of our hospital in 2011 in patients with cleft lip and palate sur- gery postoperative complications were statistically analyzed to develop targeted nursing intervention measures. In 2012, the hospital preventive intervention measures were applied on patients with cleft lip and palate operation treatment. The incidence of complications in patients with cleft lip and palate was observed. Results The major complications were bleeding, wound infection, laryngeal edema, fissure and aspiration pneumonia. The main causes of patients with cleft lip and palate were weak constitution, behavior problems, operation and care. The postoperative complications of observa- tion group were significantly lower than that of the control group （P〈0.05）. Conclusion Cleft lip and palate postopera- tive complications can be prevented, controlled. The understanding, nursing intervention, key links and sites can greatly reduce the incidence of postoperative complications.