新模式硬化剂注射治疗面颈部血管瘤的护理.doc

新模式硬化剂注射治疗面颈部血管瘤的护理
【摘要】目的为探讨新模式硬化剂注射治疗面颈部血管瘤患者的护理,将本科2005年以来, 86例入组对象的护理全过程进行分析总结。方法对入组对象入院、围手术期、出院的护理全过程进行跟踪随访,并对临床观察要点和护理对策进行总结。结果治愈70 例,基本治愈15 例,有效1 例,所有患者均满意出院。结论总结要点如下:(1)首先心理护理对此类整形患者至关重要。(2)围手术期护理中术后疼痛、对瘤体表面的皮肤护理、药物不良反应观察和护理是重点。(3)护理人员爱伤观念和整体护理严格落实可使护理质量更优质更精细。
【关键词】硬化剂注射;护理;血管瘤
[Abstract]ObjectiveTo investigate the nursing care of patients with hemangioma in the head and neck region managed with new model hardener follow the tracks of the patients with their admitted to hospital,perioperative period,leaved summarize clinical key point and nurse patients have been cured,15 patients have been fundamentally cured,1 patient has been effectively summary is as follows:(1)First psychological care to such plastic patients is very important.(2) Peri operation period nursing of postoperative pain, tumor surface skin care, adverse drug reaction observation and nursing is the key. (3) Nursing staff perceptions and holistic nursing care could strictly implement the quality of care better and more fine.
[Key words]hardener injection ; nurse ; hemangioma
血管瘤是来源于血管系统的肿瘤或畸形,发病率高达4%~8%。其中,40%~60%的病变发生于面颈部[1]。常引起口、唇、颊、舌部损害,影响功能及美观,给患者造成极重的心理负担。平阳霉素行血管瘤内注射已在临床上广泛应用,并取得明显效果[2],以往多为将平阳霉素单纯直接注射于血管瘤内,作用时间短,治疗时间较长,治愈率有待提高。自2005 年以来,本科开始采用血管瘤基底部缝扎,在用缝线将瘤体分为多个小区域后,局部注射平阳霉素及地塞米松的新治疗模式,此模式可以延长平阳霉素作用时间。与2000—2005年本科