Objective To discuss the clinical application and perioperative nursing management of CO2 laser phonomicrosurgery.Methods A total of 135 laryngeal disease patients received systematically evaluation as well as mental care before CO2 laryngeal laser surgery.We helped surgeon to fully expose operative field and monitor vital signs during the surgical process.In addition,careful observation and nursing were necessary to reduce the incidence of postoperative complications.Results Perioperative mental status of 135 patients were good,as well as steady vital signs and successful operation.None of them got laser accident during the surgical process.The laryngeal disease of all patients had different degree recovery when they discharged.Conclusions CO2 laser phonomicrosurgery has obvious superiority and innovation in the voice disorder surgery,and well perioperative nursing plays a pivotal role in the postoperative recover.

Objective:To explore the effects of trust-building in nebulized inhalation nursing for bronchopneumonia children.Methods:From January 2017 to February 2018, we selected 96 bronchopneumonia children with nebulized inhalation in the First People's Hospital of Shangqiu. All children were randomly divided into observation group and control group with the block randomization, 48 cases in each group. Children of two groups were all treated with the nebulized inhalation and routine nursing after admission. On the basis of this, observation group established trust with the children and then implemented the nebulized inhalation. We compared the length of hospitalization, symptom relief time, hospitalization expense as well as treatment compliance of children between two groups.Results:The length of hospitalization, symptom relief time, hospitalization expense of children, and the number of crying in observation group were lower than those in control group, the score of subjective compliance of children in observation group was higher than that in control group, the differences were all statistical differences ( P<0.05) . The pulmonary function indexes in observation group were higher than those in control group, and the differences were statistically significant ( P<0.05) . Conclusions:Implementation of trust-building in nebulized inhalation nursing for bronchopneumonia children can reduce the length of hospitalization and symptom relief time, and improve the lung function as well as treatment compliance of children which is worthy of popularization.

Objective? To explore the effects of prone position combined with reverse Trendelenburg position on improving hypoxemia and respiratory mechanics of acute respiratory distress syndrome (ARDS) patients. Methods? From January 2017 to December 2017, we selected ARDS inpatients in Intensive Care Unit at Affiliated Hospital of Shaoxing University as subjects by convenience sampling. The total of 20 patients were divided into group A and group B with the method of random number table. Patients of group A adopted prone position for two hours firstly, and then they adopted prone position combined with reverse Trendelenburg position for six hours. Patients of group B adopted prone position combined with reverse Trendelenburg position for two hours firstly, and then they adopted prone position for six hours. During treatment, we assessed the function of pulmonary ventilation and respiratory mechanics of patients. Results? There were statistical differences in different time, different groups and interaction between time and groups among ARDS patients between two groups (P＜ 0.01). Two hours after intervention, the oxygenation index of group B was higher than that of group A with no statistical difference (P＞0.05). One, five and eight hours after intervention, the oxygenation indexes of group A were higher than those of group B with statistical differences (P＜ 0.05). The oxygenation index of group A increased with time, and that of group B increased two hours after intervention and then reduced. There was no statistical difference in the respiratory mechanics of patients between two groups (P＞ 0.05). Conclusions? Prone position combined with reverse Trendelenburg position can improve the oxygenation of ARDS patients.

Consensus ; Humans ; Laryngopharyngeal Reflux ; diagnosis ; therapy