为探讨老年巨大甲状腺肿患者围手术期的护理对于防止并发症发生的意义,对中国人民解放军总医院经治的28例老年巨大甲状腺肿患者围手术期护理干预进行回顾性分析.观察本院的护理常规对于并发症发生率的影响,并与文献报道结果进行比较.结果表明,28例患者术后恢复顺利,无严重并发症发生,所有患者切口愈合良好,无一例患者出现术后出血、皮下血肿;无患者出现饮水呛咳;2例患者术后出现声音嘶哑,随访3~6个月后代偿性恢复;2例出现间断性口唇麻木感,经补钙治疗后恢复正常;1例发生肺部感染,经积极治疗后好转.上述结果均较各类文献中所提并发症发生率低,表明对于老年巨大甲状腺肿患者,采取恰当的手术方式,联合精心、合理、个性化的围手术期护理可以减少术后不适及并发症的发生.

To investigate whether for elder patients with great thyroid neoplasm, the perioperative care can prevent complications, the nursing service of 28 elderly patients with great thyroid neoplasm treated in our hospital is analyzed. The complication rate is recorded and compared with the results reported in the literature. The recovery of 28 patients was good without serious complications, the incisions of all patients healed well, without post-operative bleeding and subcutaneous hematoma; no patients suffered from drinking cough; 2 patients suffered from hoarse throat, and came up with compensatory recovery after three to six months; 2 patients suffered from intermittent numbness of lips, and returned to normal after the calcium treatment; 1 case of pulmonary infection was improved after active treatment. These results are compared with cases in the literature and a low incidence of complications is clearly shown. It can be concluded that the appropriate nursing service can reduce the complication rate for the elder patients with great thyroid neoplasm.