胸腔鏡漏斗胸NUSS手術圍手術期的護理

論文編號:HL073  論文字數:7945.頁數:16

論文題目：電視胸腔鏡輔助漏斗胸NUSS矯形術36例圍術期護理
摘 要

 研究目的：對電視胸腔鏡下漏斗胸NUSS矯正術的傳統護理及系統化術前術后護理，并發癥觀察及護理進行探討，預防和避免并發癥的發生，以保證治療效果，提高治愈率。
 研究方法：選擇安徽醫科大學第一附屬醫院普胸外科自2007年4月至2011年2月共收治漏斗胸患兒36例，均采用電視胸腔鏡輔助下，Nuss術進行矯治，36例隨機分為標準組和對照組，標準組18例，采用系統化護理，包括術前準備、制定有預見性的護理措施、術中配合和術后護理重點及措施、出院指導;對照組18例，采用常規護理。根據療效標準統計有效率及無效率、并發癥發生率。
 研究結果：隨訪術后不同護理方法對胸腔鏡漏斗胸NUSS矯正術有效率、無效率、并發癥發生率的比較，顯示兩組有效率比較有顯著性差異（P＜0.05）。標準組有效率為98%，與對照組比較有顯著性差異；無效率為2%，與對照組比較有顯著性差異；并發癥發生率為3%，與對照組比較有顯著性差異。
 結論：電視胸腔鏡漏斗胸NUSS矯正術是治療漏斗胸的好方法，其手術前后的各種護理措施是否到位，直接關系到手術效果和術后復發等并發癥發生機會。所以為了提高療效，根據術后恢復的不同階段開展規范化的護理及隨訪非常重要。

關鍵詞
漏斗胸 ; 電視胸腔鏡;  NUSS ; 護理
論文類型：應用研究

Topic : video - assisted Thoracoscopic - assisted NUSS funnel chest orthopaedic perioperative nursing care of 36 cases 
 
 ABSTRACT
 
 Objectives: In front of funnel chest NUSS orthotics traditional nursing and the systematized technique the technique nurses after the television thoracoscope under, the complication observation and nursing carries on the discussion, prevents and avoids the complication the occurrence, guaranteed the treatment result, enhances the cure rate.
 Methods : Chooses the Anhui medical college first affiliated hospital Pu thoracic surgery February, 2011 altogether to admit the funnel chest trouble 36 examples from from April, 2007 to, uses under the television thoracoscope assistance, the Nuss technique carries on corrects, 36 examples divide into the standard group and the control group stochastically, the standard group 18 examples, use systematized nursing, prepares, the formulation after the technique in front of has in the foresighted nursing measure, the technique the coordination and the technique nurses key and the measure, the out of hospital instruction; The control group 18 examples, use conventional nursing.According to curative effect standard statistics effectiveness and inefficiency, complication formation rate.
 Results: Follow-up of different nursing methods on the efficiency of video-assisted Thoracoscopic correction of pectus NUSS, inefficient, complication rate comparison, display effective there are significant differences between the two group (P<0.05). Standard group effectiveness is 98%, has the significance difference with the control group comparison; The inefficiency is 2%, has the significance difference with the control group comparison; The complication formation rate is 3%, has the significance difference with the control group comparison.
 Conclusion: After revisit technique different nursing method to thoracoscope funnel chest NUSS orthotics effectiveness, inefficiency, complication formation rate comparison, demonstrated two group of effectiveness comparisons have the significance difference (P<0.05).Standard group effectiveness is 98%, has the significance difference with the control group comparison; The inefficiency is 2%, has the significance difference with the control group comparison; The complication formation rate is 3%, has the significance difference with the control group comparison.
KEY WORDS: Funnel chest; Television thoracoscope;  NUSS; Nursing
TYPE OF THESIS: Research Report

目　錄

1 緒論 1
  1.1研究背景及意義 1
  1.2研究目標 1
  1.3關鍵詞及定義 1
  1.4文獻回顧 2
  1.4.1胸腔鏡漏斗胸NUSS矯正術概述…………………………………………………………………2
  1.4.2胸腔鏡漏斗胸ＮＵＳＳ矯正術圍手術期的護理現狀………………………………………3
2研究設計 4
  2.1研究類型…………………………………………………………………………….4
  2.2研究對象 4
  2.3研究步驟 4
  2.4研究工具 4
  2.5資料分析 4
3結果與分析 5
  3.1一般資料…………………………………………………………………………...5
  3.2兩組有效率人次比較 5
  3.3兩組無效率人次比較 5
3.4兩組并發癥發生率人次比較 5
4討論……………………………………………………………………………………….7
  4.1總結討論…………………………………………………………………………..7
  4.2術前準備及護理制定有預見性護理措施 7
  4.3術中配合 8
  4.4術后護理重點及措施 8
  4.5出院指導………………………………………………………………………9
5結論與展望 10
致    謝 11
附表……………………………………………………………………………………………………… 12
參考文獻 13