刘星华 陈梅 汤甜 郑芳莉 章玉洁 屈娟娟

[摘要] 目的 研究优质护理干预对围手术期胸腺瘤合并重症肌无力的效果。 方法 选取2016年12月～2018年12月我院收治的围手术期胸腺瘤合并重症肌无力患者80例，按照患者的入院顺序将患者分为对照组和观察组，每组40例。对照组给予常规护理，观察组给予优质护理干预，对比两组患者的手术时间、术中出血量、并发症发生情况以及护理满意度。 结果 观察组患者的手术时间（64.82±8.61）min以及手术治疗中的出血量（110.31±12.85）mL与对照组（88.85±12.32）min、（193.86±24.54）mL比较均明显较少，观察组在整个护理过程中出现肺部感染以及肌无力现象（2.50%）等并发症的患者明显少于对照组（30.00%），观察组护理满意度（97.50%）明显高于对照组（75.00%）（P<0.05）。 结论 胸腺瘤合并重症肌无力患者的治疗中落实优质护理干预，可以有效缩短手术时间、减少各类并发症的出现，为接受治疗的患者提供安全保障，护理效果得到认可，值得推荐使用。

[關键词] 优质护理;胸腺瘤;重症肌无力;满意度

[中图分类号] R473.6          [文献标识码] B          [文章编号] 1673-9701（2019）18-0153-04

[Abstract] Objective To study the effect of quality nursing intervention on perioperative thymoma complicated myasthenia gravis. Methods 80 patients with perioperative thymoma complicated with myasthenia gravis who were admitted to our hospital from December 2016 to December 2018 were selected. Patients were divided into control group and observation group according to the patient's admission order， with 40 cases in each group. The control group was given regular nursing care， and the observation group was given quality nursing intervention. The operation time， intraoperative blood loss， complications， and nursing satisfaction were compared between the two groups. Results The operation time was（64.82±8.61） min and the amount of bleeding during operation was（110.31±12.85） ml in the observation group， which were significantly less than those of（88.85±12.32） min and（193.86±24.54） ml in the control group. There were significantly fewer complications such as pulmonary infection and muscle weakness（2.50%） in the observation group during the whole nursing process than the control group（30.00%）. The nursing satisfaction in the observation group（97.50%） was significantly higher than that in the control group（75.00%）（P<0.05）. Conclusion The implementation of quality nursing intervention during the treatment of patients with thymoma complicated with myasthenia gravis can effectively shorten the operation time and reduce the occurrence of various complications. It provides safety and security for patients who are treated， and the effect of nursing care is recognized， which is recommended in application.

[Key words] Quality nursing; Thymoma; Myasthenia gravis; Satisfaction

重症肌无力属于一种自身免疫疾病，这类疾病出现的主要原因是神经-肌肉联结点出现传导障碍问题，主要症状表现为肌肉无力，容易产生疲劳感，情况严重时将会影响到患者的呼吸功能，从而危及到患者的生命安全[1，2]。目前，在治疗患有胸腺瘤合并重症肌无力患者的过程中，主要对患者进行手术治疗，胸腺瘤切除术是治疗胸腺瘤合并肌无力的首选方法，但创伤性手术治疗会引起肺部感染、肌无力危象等术后并发症，危及到患者的生命安全[3-4]，为了能够有效提高患者的预后效果，使患者的病情得到良好的控制，需要对患者进行有效的、科学的、优质的护理，现选取2016年12月～2018年12月入住我院的胸腺瘤合并重症肌无力患者80例并开展研究，在40例患者的治疗中采取优质护理干预以后，对比分析不同护理方法的应用效果，现报道如下。……