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首页> 外文期刊>Acta Oto-Laryngologica >Postoperative complications in patients with cochlear implants and impacts of nursing intervention.
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Postoperative complications in patients with cochlear implants and impacts of nursing intervention.

机译：人工耳蜗患者的术后并发症及护理干预的影响。

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CONCLUSION: This study shows that cochlear implantation is relatively safe surgery with few major complications and within acceptable limits. However, close follow-up observation and effective medical and nursing intervention could alleviate further complications and thus become key elements for promoting recovery of patients undergoing such surgery. OBJECTIVES: Cochlear implantation has become an effective method for curing patients disabled by profound hearing loss in China. However, full exploration of the associated complications remains to be completed. The objective of this study was thus to analyse the postoperative complications in patients with cochlear implants (CIs) in order to design improved measures for clinical and nursing interventions. METHODS: A retrospective study of 262 patients receiving CIs at the Department of Otorhinolaryngology/Head and Neck Surgery, Chinese People's Liberation Army General Hospital, Beijing, China from March 1997 to December 2006 was conducted. RESULTS: Among 262 patients, 4 cases (1.5%) had 1 or more major complications requiring substantial medical or nursing interventions, including 1 case of cerebrospinal fluid (CSF) otorrhoea accompanied by meningitis, 2 cases of facial nerve paresis and 1 case of perforation of tympanic membrane. Forty cases (15.3%) had some form of minor complication that settled spontaneously or easily with conventional treatments and nursing, of which dizziness and vomiting was the most frequent (4.2%), followed by CSF gusher without otorrhoea and/or induced meningitis (2.7%), tinnitus (1.9%) and facial nerve partially exposed without paralysis (1.5%). Eleven cases (4.2%) had some symptoms associated with installation of the cochlear device. Except for one patient who had no response after implantation because his auditory nerves were underdeveloped, all the patients who received appropriate treatment and nursing intervention had a favourable prognosis.
机译：结论：这项研究表明，人工耳蜗植入是相对安全的手术，几乎没有重大并发症，并且在可接受的范围内。但是，密切的随访观察以及有效的医疗和护理干预措施可以减轻进一步的并发症，从而成为促进接受此类手术的患者康复的关键因素。目的：人工耳蜗植入已成为治疗中国严重听力损失残疾患者的有效方法。然而，对相关并发症的全面探索仍有待完成。因此，本研究的目的是分析人工耳蜗（CIs）患者的术后并发症，以设计用于临床和护理干预措施的改进措施。方法：回顾性研究1997年3月至2006年12月在中国人民解放军总医院耳鼻咽喉/头颈外科的262例接受CIs的患者。结果：在262例患者中，有4例（1.5％）有1例或更多的重大并发症需要大量的医学或护理干预，包括1例脑脊液（CSF）耳漏伴有脑膜炎，2例面神经麻痹和1例穿孔鼓膜。 40例（15.3％）具有某种形式的轻度并发症，在常规治疗和护理下可自发或容易缓解，其中头晕和呕吐最为频繁（4.2％），其次是无耳漏和/或诱发性脑膜炎的脑脊液涌出（2.7） ％），耳鸣（1.9％）和面神经部分暴露而无麻痹（1.5％）。 11例（4.2％）出现一些与耳蜗装置安装相关的症状。除一名因听神经发育不佳而在植入后无反应的患者外，所有接受适当治疗和护理干预的患者均预后良好。

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