儿童耳前瘘管感染伴脓肿行穿刺冲洗注药术护理的效果研究(1)
【摘要】 目的 儿童耳前瘘管感染伴脓肿行穿刺冲洗注药术护理的临床康复效果研究。方法 选取50例耳前瘘管感染伴脓肿的患儿作为研究对象， 随机分为观察组(26例)和对照组(24例)。对照组患儿实施切开引流术干预治疗及相关护理， 观察组患儿采用穿刺冲洗注药术进行干预治疗及相关护理。统计比较两组患儿的痊愈情况。结果 观察组患儿中1周内痊愈17例， 1～2周痊愈9例， 2～3周痊愈0例;对照组患儿中1周内痊愈0例， 1～2周痊愈7例， 2～3周痊愈17例。观察组患儿的痊愈情况优于对照组， 差异具有统计学意义(P<0.05)。结论 采用穿刺冲洗注药术对耳前瘘管感染伴脓肿患儿进行治疗护理的效果显著， 缩短了炎症消退及切口愈合时间， 患儿治疗护理1～2 d 即可改善疾病症状， 1～2 周即可痊愈， 值得临床推广应用。
【关键词】 耳前瘘管感染;脓肿;穿刺冲洗注药术;护理
DOI：10.14163/j.cnki.11-5547/r.2020.31.081
Nursing effect of children with preauricular fistula infection and abscess undergoing puncture， irrigation and drug injection LI Mi. Department of Otorhinolaryngology， Shenyang Children’s Hospital， Shenyang 110032， China
【Abstract】 Objective To study the clinical effect of children with preauricular fistula infection and abscess undergoing puncture， irrigation and drug injection. Methods A total of 50 children with preauricular fistula infection and abscess as study subjects were randomly divided into observation group (26 cases) and control group (24 cases). The control group received incision and drainage treatment and related nursing， and the observation group received puncture， irrigation and drug injection and related nursing. Results In the observation group， 17 cases recovered within 1 week， 9 cases recovered within 1-2 weeks， and 0 cases recovered within 2-3 weeks; in the control group， 0 case recovered within 1 week， 7 cases recovered within 1-2 weeks， and 17 cases recovered within 2-3 weeks. The recovery status of the observation group was better than that of the control group， and the difference was statistically significant (P<0.05). Conclusion The effect of treatment and nursing for children with preauricular fistula infection and abscess by puncture， irrigation and drug injection is significant， which can shorten the time of inflammation regression and incision healing. The disease symptoms can be improved in 1-2 d， and children cured in 1-2 weeks. It is worthy of clinical promotion and application.
【Key words】 Preauricular fistula infection; Abscess; Puncture， irrigation and drug injection; Nursing
兒童耳前瘘管疾病为常染色体显性遗传性疾病， 多由于患儿在出生前第一、二鳃弓发育过程中的六个小丘样结节出现融合不良或者是第一鳃沟的封闭不全引起的先天性外耳畸形[1]。瘘管的开口位于耳轮角前方， 但个别患儿出现瘘管开口在耳甲腔、外耳道或乳突的皮肤位置， 这种瘘管的开口位置称为异位耳瘘。耳前瘘管患儿一般症状不明显， 如果患儿出现瘘管的继发感染时， 会出现局部红肿痛等临床症状， 一旦病情加重会导致耳前瘘管感染并发脓肿出现， 若出现脓肿破溃会流出大量的脓液[2]。耳前瘘管伴脓肿临床传统的治疗方式为切开引流术， 但经临床观察显示此种手术切口愈合时间较长， 严重者可导致长期的切口不愈， 进而导致脓瘘或瘢痕的形成[3]。本研究采用穿刺冲洗注药术治疗护理耳前瘘管感染伴脓肿， 患儿的感染病灶2周内达到愈合， 且复发率较低， 临床效果显著。, http://www.100md.com(李密)
【关键词】 耳前瘘管感染;脓肿;穿刺冲洗注药术;护理
DOI：10.14163/j.cnki.11-5547/r.2020.31.081
Nursing effect of children with preauricular fistula infection and abscess undergoing puncture， irrigation and drug injection LI Mi. Department of Otorhinolaryngology， Shenyang Children’s Hospital， Shenyang 110032， China
【Abstract】 Objective To study the clinical effect of children with preauricular fistula infection and abscess undergoing puncture， irrigation and drug injection. Methods A total of 50 children with preauricular fistula infection and abscess as study subjects were randomly divided into observation group (26 cases) and control group (24 cases). The control group received incision and drainage treatment and related nursing， and the observation group received puncture， irrigation and drug injection and related nursing. Results In the observation group， 17 cases recovered within 1 week， 9 cases recovered within 1-2 weeks， and 0 cases recovered within 2-3 weeks; in the control group， 0 case recovered within 1 week， 7 cases recovered within 1-2 weeks， and 17 cases recovered within 2-3 weeks. The recovery status of the observation group was better than that of the control group， and the difference was statistically significant (P<0.05). Conclusion The effect of treatment and nursing for children with preauricular fistula infection and abscess by puncture， irrigation and drug injection is significant， which can shorten the time of inflammation regression and incision healing. The disease symptoms can be improved in 1-2 d， and children cured in 1-2 weeks. It is worthy of clinical promotion and application.
【Key words】 Preauricular fistula infection; Abscess; Puncture， irrigation and drug injection; Nursing
兒童耳前瘘管疾病为常染色体显性遗传性疾病， 多由于患儿在出生前第一、二鳃弓发育过程中的六个小丘样结节出现融合不良或者是第一鳃沟的封闭不全引起的先天性外耳畸形[1]。瘘管的开口位于耳轮角前方， 但个别患儿出现瘘管开口在耳甲腔、外耳道或乳突的皮肤位置， 这种瘘管的开口位置称为异位耳瘘。耳前瘘管患儿一般症状不明显， 如果患儿出现瘘管的继发感染时， 会出现局部红肿痛等临床症状， 一旦病情加重会导致耳前瘘管感染并发脓肿出现， 若出现脓肿破溃会流出大量的脓液[2]。耳前瘘管伴脓肿临床传统的治疗方式为切开引流术， 但经临床观察显示此种手术切口愈合时间较长， 严重者可导致长期的切口不愈， 进而导致脓瘘或瘢痕的形成[3]。本研究采用穿刺冲洗注药术治疗护理耳前瘘管感染伴脓肿， 患儿的感染病灶2周内达到愈合， 且复发率较低， 临床效果显著。, http://www.100md.com(李密)