刘桂凤　左艳蕾　代继红

[摘要] 目的 探讨单极电凝扁桃体切除术的术后护理观察。 方法 选取2013年1月～2016年6月我科收治的切除扁桃体的患者共100例。100例单极电凝扁桃体切除术的患者按术后冷敷时间分为A、B两组，每组各50例，A组冷敷时间为12 h，B组冷敷时间为24 h，比较两组术后护理指标（术后出血、疼痛评分、术后进食恢复时间），根据护理指标进行分析。 结果 A、B两组疼痛评分为（5.91±1.36）分、（3.10±1.33）分，术后进食恢复时间为（8.50±1.35）d、（6.50±1.05）d，两组之间差异分别有显著性（P<0.05）；两组患者术后原发性出血率和继发性出血率比较差异无显著性（P>0.05）。 结论 冷敷护理在单极电凝扁桃体切除术的术后护理中尤为重要，可以有效减轻扁桃体热切除术引起的热损伤，最好术后持续冷敷24 h。

[关键词] 单极电凝； 扁桃体切除术； 冷敷；护理

[中图分类号] R473.76 [文献标识码] B [文章编号] 1673-9701（2018）09-0153-03

Nursing experience of 100 cases after tonsillectomy by unipolar electrocoagulation

LIU Guifeng1 ZUO Yanlei2 DAI Jihong3

1.Center of Physical Examination， Chengyang District Peoples Hospital of Qingdao City， Qingdao 266000， China； 2.Department of E.N.T.， Chengyang District Peoples Hospital of Qingdao City， Qingdao 266000， China； 3.Department of Thoracic Surgery， Chengyang District Peoples Hospital of Qingdao City， Qingdao 266000， China

[Abstract] Objective To investigate the postoperative nursing observation of unipolar electrocoagulation for tonsillectomy. Methods A total of 100 patients receiving tonsillectomy who were admitted to our department from January 2013 to June 2016 were selected as the research subjects. The 100 cases of patients receiving unipolar electrocoagulation for tonsillectomy were divided into group A and B according to the time of postoperative cold compress， with 50 cases in each group. The time of cold compress was 12 hours in group A， and the time of cold compress was 24 hours in group B. The postoperative nursing indexes （postoperative bleeding， pain score， recovery time of postoperative diet） were compared between the two groups. The analysis was carried out according to nursing indicators. Results The pain scores in group A and B were （5.91±1.36） p and （3.10±1.33） p. The recovery time of postoperative diet was （8.50±1.35） d and （6.50±1.05） d. There were significant differences between group A and group B（P<0.05）； there was no significant difference between the two groups in the rates of primary hemorrhage and secondary hemorrhage in group A and group B （P>0.05）. Conclusion Cold compress nursing is particularly important in the postoperative care of unipolar electrocoagulation for tonsillectomy， which can effectively reduce the heat injury caused by tonsillectomy. Cold compress for 24 hours after the surgery is optimal.

[Key words] Unipolar electrocoagulation； Tonsillectomy； Cold compress； Nursing

扁桃體疾病是耳鼻咽喉科十分常见的疾病之一，可以引起中耳炎等多种并发症，甚至引起心肌炎、急慢性肾小球肾炎等许多严重全身疾病。儿童期扁桃体慢性炎发病率大约22.04%[1]。扁桃体切除术是耳鼻咽喉头颈外科常见的手术之一，是治疗扁桃体疾病的主要手段，传统的扁桃体剥离术具有术中出血多、操作复杂、手术时间长等缺点。我科采用单极电凝术切除扁桃体治疗100例扁桃体疾病患者，手术顺利，手术效果好，疗效满意。现报道如下。

1 资料与方法

1.1 一般资料

自2013年1月～2016年6月我科收治的切除扁桃体的患者共100例。严格按照扁桃体手术适应证选择手术患者，排除具有造血系统疾病及凝血功能障碍，严重全身性疾病，妇女月经前及月经期、妊娠期等手术禁忌证患者，排除具有扁桃体手术禁忌证者。……