目的:比较两种方法在全麻颌面部日间手术眼睛保护中应用效果.方法:选取全麻下颌面部日间手术患者102例,按住院号尾数奇偶分为眼膏联合透明敷料组(对照组)和伤口敷料组(实验组).对照组患者全麻后涂金霉素眼膏后闭合双眼外贴3M透明敷料,实验组患者全麻后直接闭合双眼外贴侧边折叠的3M伤口敷料.比较敷料沾染睫毛和眉毛的发生率、眼部症状及并发症的发生率及护士操作用时.结果:两组患者术后眼部不适及并发症的发生率差异无统计学意义(P>0.05).实验组患者术后敷料上沾有眉毛和睫毛的发生率、眼周皮疹及视物模糊发生率、操作所需用时均低于对照组(P<0.05).结论:对全麻颌面部日间手术患者,3M伤口敷料法是一种简便、有效的眼睛保护方法,患者感受较好.

目的:探讨全麻支撑显微喉镜(SML)下声带息肉激光切除术围术期的护理措施.方法:取32例行SML下声带息肉切除术患者,随机分为两组,对照组16例行常规护理,研究组16例行围手术期针对性护理,对比效果.结果:研究组满意度显著高于对照组(P<0.05).结论:在SML下声带息肉切除术围手术期中行针对性护理,可有效预防并发症发生,提升护理满意度,并能有效提高手术治疗效果.

Objective To investigate the clinical value of functional parotidectomy in benign tumor of superficial lobe of parotid gland.Methods Fifty-one patients with benign tumors in superficial lobe of parotid gland(≤3.0cm) were treated with functional parotidectomy,preserving the great auricular nerve,conserving the master duct and main normal parotid tissue,reconstructing the parotidmasseter fascia,resecting the tumor in the 0.5~1.0 cm away from the edge of the tumor within the normal glandular tissue.All patients were followed up for 2 months to 2 years to investigate the rate of postoperative complications and recurrence.Results There was slight facial deformity in 51 patients.The function of parotid gland was nearly normal.There was no obvious earlobe numb,no salivary fistula and gustatory sweating syndrome,no permanent facial nerve injury,but there was transient facial nerve palsy in 5 cases.There was no recurrence during the followed-up.Conclusion Functional parotidectomy has a high clinical value with small surgical trauma and less postoperative complications in smaller benign tumor(≤ 3.0 cm) of superficial lobe of parotid gland.