Observation on controlled hypotension during the peri-operation of endoscopic sinus surgery and nursing cooperation
10.3760/cma.j.issn.1674-2907.2008.15.004
- VernacularTitle:鼻内窥镜术围控制性降压期的观察与护理配合
- Author:
Qiong-Fang ZHU
1
;
Yu-Chan HUANG
;
Mu-Yao CHEN
;
Cui-Mei ZHANG
;
Xu-Su CHEN
Author Information
1. 中山大学附属第一医院
- Keywords:
Paranasal sinus disease;
Nose endoscopy;
Controlled hypotension;
Nursing
- From:
Chinese Journal of Modern Nursing
2008;14(15):1650-1652
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the mode of nursing cooperation of endoscopic sinus surgery for nasal sinus and nasal cavity under controlled hypotension, and to summary and accumulate the experiences. Methods The method of nursing cooperation and the operation program of 80 cases with endoscopic sinus surgery through the way of moving down the nasal endoscope under whole-anesthetization were retrospectively analyzed. These patients were divided into the controlled hypotension group and the non-controlled hypotension group. Results The effect of decreasing blood pressure was satisfied. The bleeding amount of the controlled hypotension group was smaller than that in the non-controlled hypotension group (P<0. 05). The amount of transfused liquid was smaller than that in the non-controlled hypotension group (P<0. 05). And the operation time was obviously shortened because of proper nursing cooperation. Conclusions Controlled hypotension can obviously reduce the bleeding amount and the transfused liquid during the operation, thereby shortening the operation time. The nursing measures should lay emphasis on the cycle and the bleeding amount during the operation, the breath and close observation of nervous system after the operation, and cooperation with the doctors to timely treat the symptoms.
