目的:研究快速康复外科干预措施在难治性鼻出血鼻内镜下微创术中护理的应用.方法: 选取接受鼻内镜下微创术诊治的200例难治性鼻出血患者作为研究对象,根据随机数表法分为对照组和研究组,每组各100例.对照组患者采用常规护理干预,研究组患者在对照组常规护理基础上采用快速康复外科护理干预措施.观察并比较两组患者临床疗效、满意度以及护理前后的焦虑情况.结果: 研究组患者治疗总有效率(95. 0%)高于对照组(71. 0%),差异有统计学意义(P ＜0. 05);护理后两组患者焦虑SAS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P＜0. 05);护理后研究组患者满意度(100. 0% )高于对照组(86. 0% ),差异有统计学意义(P＜0. 05).结论: 快速康复外科护理干预措施在难治性鼻出血鼻内镜下微创术中可有效降低患者血压,避免出血加剧,降低患者焦虑情绪,提高治疗效果,增加患者满意度,值得临床推广.%Objective:To study the application of rapid rehabilitation surgical intervention in nasal endoscopic minimally inva-sive surgery in refractory epistaxis. Methods:200 cases of patients with refractory epistaxis underwent endoscopic minimally invasive surgery were selected as subjects. All the patients were divided into control group and study group according to the random number ta-ble method, each group of 100 cases. In the control group, patients were treated with routine nursing intervention, and the patients in the study group were treated with rapid rehabilitation surgery on the basis of routine nursing care in the control group. The clinical effi-cacy, satisfaction and anxiety before and after nursing were observed and compared between the two groups. Results:The total effective rate (95. 0% ) in the study group was higher than that (71. 0% ) in the control group, the difference was statistically significant (P＜0. 05). The scores of anxiety SAS in the two groups were lower than those before nursing, and the scores in the study group was lower than those in the control group, the difference was statistically significant (P＜0. 05). The satisfaction rate in the study group was 100.0% (100/100), which was higher than that of in control group (86. 0%), the difference was statistically significant (P ＜0. 05). Conclusion:Rapid rehabilitation surgical care intervention in intractable epistaxis nasal endoscopic minimally invasive surgery can effectively reduce blood pressure, avoid increased bleeding, reduce anxiety, improve the treatment effect, increase patient satisfac-tion, worthy of clinical promotion.
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