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目的探讨围手术期护理干预对乳突根治伴鼓室成形术治疗胆脂瘤型中耳炎的效果。方法选取2010年6月—2015年6月本院收治的172例胆脂瘤型中耳炎患者,将其随机分为对照组及观察组各86例,对照组予以常规护理,观察组予以围手术期护理,比较2组患者的术后气骨导状态、外耳道形状、术后并发症等。计量资料采用t检验,计数资料采用χ~2检验。P<0.05为差异有统计学意义。结果治疗后,观察组患者气骨导差的改善率为98.84%,明显高于对照组的69.77%,比较差异有统计学意义(P<0.05)。观察组的外耳道正常率为84.88%,明显高于对照组的68.69%,比较差异有统计学意义(P<0.05)。观察组的并发症发生率为13.95%,明显低于对照组的37.21%,比较差异有统计学意义(P<0.05)。结论在行乳突根治伴鼓室成形术治疗的胆脂瘤型中耳炎患者中实施围手术期护理,能有效改善患者的听力,减少并发症的发生。
Objective To investigate the effect of perioperative nursing intervention on the treatment of cholesteatoma otitis media with mastoidectomy and tympanoplasty. Methods From June 2010 to June 2015, 172 patients with cholesteatoma otitis media admitted to our hospital were randomly divided into control group and observation group of 86 patients. The control group was given routine nursing and the observation group was given perioperative period Nursing. The postoperative gas-conduction state, external auditory canal shape, postoperative complications and so on were compared between the two groups. Measurement data using t test, count data using χ ~ 2 test. P <0.05 for the difference was statistically significant. Results After the treatment, the improvement rate of airway conduction in the observation group was 98.84%, which was significantly higher than that in the control group (69.77%, P <0.05). The normal rate of external auditory canal in observation group was 84.88%, which was significantly higher than that in control group (68.69%), the difference was statistically significant (P <0.05). The incidence of complications in the observation group was 13.95%, which was significantly lower than that in the control group (37.21%), the difference was statistically significant (P <0.05). Conclusions Perioperative nursing in patients with cholesteatoma otitis media treated by radical mastoidectomy with tympanoplasty can effectively improve the patient ’s hearing and reduce the incidence of complications.