护理干预对不同气质类型甲状腺患者术后头痛的影响初探

Effect of Nursing Intervention on the Postoperative Headache of Thyroid Patients With Different Temperament Types

目的探究在不同气质类型甲状腺患者中应用护理干预对其术后头痛的影响。方法将2015年1月—2017年1月176例不同气质类型甲状腺患者进行研究,随机将所选患者平均分为4组,每组各44例,所选患者均接受手术治疗,Ⅰ组患者行以麻醉类药物辅助并联合护理干预,Ⅱ组患者行以麻醉药物辅助,Ⅲ组患者行以单纯护理干预,Ⅳ组患者作为对照组,对4组患者的头痛发生率、心理应激反应、颈部伤口引流量、拔管时间等指标进行分析和比较。结果治疗及护理后,Ⅰ组患者的头痛与呕吐发生率、焦虑与抑郁评分低于其他3组,Ⅱ组与Ⅲ组这4项指标比较,差异无统计学意义;Ⅰ组术后12小时、24小时颈部伤口引流量低于其他3组,拔管时间也早于其他3组,Ⅱ组与Ⅲ组比较,差异无统计学意义。结论在不同气质类型甲状腺患者中应用护理干预并辅助麻醉类药物可以降低头痛发生率,减轻患者生理及心理应激反应。

Objective To explore the effect of nursing intervention onpostoperative headache in patients with different types of thyroid gland. Methods From January 2015 to January 2017, 176 patients with diferent temperament types of thyroid were studied, they were randomly divided into 4 groups, with 44 cases in each group, and all of them were received surgical treatment. group I received anesthesia combined with nursing intervention, group Ⅱ were treated with narcotic drugs, group Ⅲ received simple nursing intervention, group Ⅳ was used as control group. The incidence of headache, psychological stress reaction, neck wound fow rate and extubation time were analyzed and compared in the 4 groups. Results After treatment and nursing, the incidence of headache and vomiting, anxiety and depression scores in group I were lower than those in the other 3 groups. There was no signifcant diference between group II and group IV. After 12 hours and 24 hours, the drainage volume of cervical wound was lower than that of the other 3 groups, and the extubation time was earlier than that of the other 3 groups. There was no signifcant diference between group Ⅱ and group Ⅲ . Conclusion Application of nursing intervention and narcotic drugs can reduce headache incidence and relieve physiological and psychological stress in patients with diferent temperament types.