低温等离子消融术治疗儿童过敏性鼻炎的护理体会

摘要

Objective To summarize the treatment method and nursing experience in treating allergic rhinitis in children with low temperature plasma radiofrequency ablation.Methods A total of 65 children with allergic rhinitis who were treated by low temperature plasma ablation in the Fifth People's Hospital from May 201 1 to February 201 5 were chosen.After treatment,they were given antibiotics for anti-infection and anti-inflammatory.Clean the nasal secretions every day.The treatment lasted for 6 to 8 weeks.Psycho-logical nursing care was given before treatment,and conventional nursing care was performed before,during and after the treatment.Follow-up was made respectively 1 week,4 weeks,3 months,6 months and one year later.Observe the recovery of nasal cavity and evaluate the treatment result.Results In the 65 cases of chil-dren receiving low temperature plasma ablation treatment,39 cases were cured,22 cases improved,4 cases inef-fective,and the total effective rate was 93.85%.Follow up results showed that all the patients had no nasal mu-cosa atrophy,nasal cavity adhesion or olfactory dysfunction,and no side effects occurred.Conclusion The low temperature plasma ablation technique has little damage to the nasal mucosa.It can be used as an alter-native treatment instead of medicine,laser and microwave in the treatment of allergic rhinitis.%目的：总结低温等离子消融术治疗儿童过敏性鼻炎的治疗方法及护理体会。方法2011年5月至2015年2月沈阳市第五院人民医院耳鼻喉科采用低温等离子手术消融治疗65例过敏性鼻炎患儿，术后给予抗生素药物消炎、抗感染，每日对鼻腔进行分泌物清理，治疗6~8周。术前给予心理护理及术前护理、术中护理、术后护理。术后1周、4周、3个月、6个月、1年各随访1次，观察鼻腔创面恢复情况，评估手术效果。结果65例患儿经低温等离子消融术治疗后，治愈39例，好转22例，无效4例，总有效率为93.85%。各阶段随访结果表明，所有患儿均无鼻黏膜萎缩、鼻腔粘连及嗅觉障碍，无副反应发生。结论低温等离子消融技术对鼻黏膜损伤小，副反应发生少，可作为替代药物、激光和微波治疗过敏性鼻炎的首选。