[1]张 瑜.集束化护理对甲状腺术后疼痛程度及声带麻痹情况的影响[J].医学信息,2021,34(20):182-184.[doi:10.3969/j.issn.1006-1959.2021.20.050]
　ZHANG Yu.Effect of Clustered Nursing on the Degree of Pain and Vocal Cord Paralysis After Thyroid Surgery[J].Medical Information,2021,34(20):182-184.[doi:10.3969/j.issn.1006-1959.2021.20.050]
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集束化护理对甲状腺术后疼痛程度及声带麻痹情况的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年20期
页码:
182-184
栏目:
护理研究
出版日期:
2021-10-20

文章信息/Info

Title:
Effect of Clustered Nursing on the Degree of Pain and Vocal Cord Paralysis After Thyroid Surgery
文章编号:
1006-1959（2021）20-0182-03
作者:
张 瑜
寻乌县人民医院手术麻醉科，江西 寻乌 342200
Author(s):
ZHANG Yu
Department of Surgical Anesthesia,Xunwu People’s Hospital,Xunwu 342200,Jiangxi,China
关键词:
甲状腺术; 集束化护理; 声带麻痹; 甲状腺功能
Keywords:
Thyroid surgery; Cluster nursing; Vocal cord paralysis; Thyroid function
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2021.20.050
文献标志码:
A
摘要:
目的 分析集束化护理对甲状腺术后疼痛程度及声带麻痹情况的影响。方法 选取2019年5月-2021年5月我院行甲状腺术治疗的74例患者作为研究对象，依据随机数字表法分为对照组与观察组，各37例。对照组给予常规护理，观察组实施集束化护理，比较两组术后疼痛程度、甲状腺功能[促甲状腺激素（TSH）、游离三碘甲状腺原氨酸（FT3）、游离甲状腺素（FT4）]、嗓音评估[嗓音障碍指数（VHI）、最长发声时间（MPT）]以及并发症情况。结果 观察组术后6、10 h VAS评分低于对照组（P＜0.05）。观察组术后TSH高于对照组，FT3、FT4低于对照组（P＜0.05）；观察组术后VHI评分低于对照组，MPT大于对照组（P＜0.05）。观察组术后恶心呕吐、颈部肿胀、声带麻痹发生率均低于对照组（P＜0.05）。结论 集束化护理可减轻甲状腺术后患者的疼痛程度，促进患者甲状腺功能恢复，同时改善嗓音质量，降低声带麻痹等并发症发生风险。
Abstract:
Objective To analyze the effect of clustered nursing on the degree of pain and vocal cord paralysis after thyroid surgery.Methods A total of 74 patients who underwent thyroid surgery in our hospital from May 2019 to may 2021 were selected as the research objects, which were divided into control group and observation group according to a random number table, with 37 cases in each group. The control group was given routine nursing care, and the observation group was given bundled nursing care. The postoperative pain and thyroid function [thyroid stimulating hormone (TSH), free triiodothyronine (FT3), free thyroxine (FT4)], voice assessment [voice impairment index (VHI), maximum voice time (MPT)] and complications were compared between the two groups.Results The VAS scores at 6 and 10 h after operation in the observation group were lower than those in the control group (P<0.05). After operation, TSH in the observation group was higher than that in the control group, and FT3 and FT4 were lower than those in the control group (P<0.05); the VHI score in the observation group was lower than that in the control group, and the MPT was higher than that in the control group (P<0.05). The incidence of postoperative nausea and vomiting, neck swelling and vocal cord paralysis in the observation group were lower than those in the control group (P<0.05).Conclusion Clustered nursing care can reduce the pain of patients after thyroid surgery, promote the recovery of their thyroid function, improve voice quality, and reduce the risk of complications such as vocal cord paralysis.

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更新日期/Last Update: 1900-01-01