摘要
目的探讨规范安装、使用神经监护仪对甲状腺手术临床效果的影响。方法我院于2017年9月围绕甲状腺手术中神经监护仪的规范安装及使用对护理人员进行培训,选择2017年7—11月我院收治的行甲状腺手术的患者120例作为观察对象,将7—8月收治的60例患者作为使用神经监护前组,9—11月收治的60例患者作为使用后组,比较使用前、后患者的喉返神经损伤率。结果使用前喉返神经损伤率为18. 3%显著高于培训后的1. 7%(P <0. 05)。结论通过神经监护仪使用培训,能促使护理人员规范安装、使用神经监护仪,显著降低喉返神经损伤率,加之护理配合,能改善手术质量,值得推广应用。
Objective To explore the effect of standard installation and use of nerve monitor on the clinical outcome of thyroid surgery. Methods In September 2017, our hospital had conducted training of the nursing staff in the standard installation and use of nerve monitors in thyroid surgery. We selected 120 patients undergoing thyroid surgery who were treated in our hospital from July 2017 to November 2017 as observation objects. A total of 60 patients who were treated in our hospital from July to August were selected as the pre-neural monitoring group. A total of 60 patients who were admitted to our hospital from September to November were selected as the post-neural monitoring group. The recurrent laryngeal nerve injury rate was compared between the patients before and after the use of nerve monitor. Results The recurrent laryngeal nerve injury rate before the use nerve monitor was 18.3%, which was significantly higher than that after the training, which was 1.7%(P<0.05). Conclusion Conducting training for the use of nerve monitor can enable nursing staff to standardize the installation and use of neuromonitoring devices. Meanwhile, it can reduce the rate of recurrent laryngeal nerve injury significantly. If combined with proper nursing, this method can even improve the quality of surgery,which was worth popularizing and applying.
作者
伍仲秀
吴志敏
徐坤仪
邓秋枫
WU Zhong-xiu;WU Zhi-min;XU Kun-yi;DENG Qiu-feng
出处
《护理实践与研究》
2019年第8期141-142,共2页
Nursing Practice and Research
基金
佛山市科学技术局科技医疗卫生项目(2016AB000722)
关键词
神经监护仪
甲状腺手术
喉返神经损伤
Nerve monitor
Thyroid surgery
Recurrent laryngeal nerve injury
