Abstract:Objective To explore the effect of nursing intervention in the comprehensive diagnosis and treatment of congenital nasolacrimal duct obstruction.Methods From June 2020 to June 2022,56 children with congenital nasolacrimal duct obstruction were divided into two groups according to different nursing methods,38 cases in the experimental group were assisted with holistic nursing,and the related indexes such as quality of life,complications and satisfaction of family members were compared.Results 1 quality of life:the scores of physiological/social/role function and other factors in the experimental group were higher than those in the control group(p＜0.05)2 complications:the incidence of lacrimal dot tear and secondary infection in the experimental group was 0％(0/28),3 satisfaction degree of family members:Satisfaction Degree of family members,such as health education and service attitude,was higher in the experimental group than in the control group(p＜0.05);4 nursing effect:the nursing effect of the experimental group was better than that of the control group(p＜0.05).Conclusion The effect of holistic nursing in the comprehensive diagnosis and treatment of congenital nasolacrimal duct obstruction is remarkable,which can improve the symptoms,avoid the related complications,improve the quality of life and the satisfaction of family members.

Abstract:Objective This study focuses on the nursing effects of gastric fluid dripping into the throat during gastrostomy tube replacement in patients with gastroesophageal reflux disease.Methods A retrospective study was conducted on 100 patients with gastroesophageal reflux disease admitted to our hospital from August 2022 to February 2024.The patients were divided into a control group(n=50,receiving routine nursing)and an experimental group(n=50,receiving nursing intervention on the basis of the control group).The nursing satisfaction,RDQ score,and QOL score were the main outcomes measured in both groups.Results The overall nursing satisfaction in the experimental group was significantly lower than that in the control group(P＜0.05).There was no significant difference in RDQ score and QOL score between the two groups before nursing(P＞0.05).However,after nursing,the RDQ score in the experimental group was significantly lower and the QOL score was significantly higher than those in the control group,with statistically significant differences(P＜0.05).Conclusion Special nursing intervention during gastrostomy tube replacement can effectively reduce the incidence of gastric fluid dripping into the throat,reduce the occurrence of gastroesophageal reflux disease,and decrease the amount of gastric fluid,making it less likely to drip into the throat.This intervention is worthy of clinical reference and promotion.

Abstract:Objective To study the effect of deglutition function evaluation and nursing intervention on dysphagia patients with cerebral infarction.Methods A total of 76 patients with dysphagia due to cerebral infarction admitted to our hospital from May to May 2022 were 2021,"Double-blind method"was divided into control group(routine nursing),observation group(swallowing function assessment+nursing intervention)38 cases each,the two groups were compared.Results There was no significant difference in swallowing function and quality of life before intervention,P＞0.05.After intervention,the scores of WST,SSA,leakage-aspiration and residual were lower,SQAL-QOL was higher in the observation group than in the control group The compliance rate(97.37％)in the observation group was higher than that in the control group(73.68％).The rate of aspiration in the observation group(2.63％)was lower than that in the control group(13.16％),P＜0.05;.Conclusion Deglutition function evaluation and nursing intervention can improve the quality of life and deglutition function of patients with dysphagia due to cerebral infarction,optimize compliance behavior and avoid aspiration.

Abstract:Objective To systematically analyze the effects of aminophylline and pentoverine in the treatment of senile sleep apnea syndrome.Method Seventy-four elderly patients with sleep apnea treated in our hospital from April 2020 to April 2022 were selected as research objects,and were equally divided into control group and observation group based on"different treatment methods".37 patients were included in each group.The control group was treated with aminophylline,while the observation group was treated with aminophylline combined with pentoverine.Effects,sleep apnea hypopnea index,duration of sleep disordered breathing,nocturnal oxygen saturation,and incidence of drug side effects were systematically analyzed in both groups.Results Before treatment,there was no statistical difference between the sleep apnea hypopnea index and overnight blood oxygen saturation between the two groups,P＞0.05.After treatment,compared with the control group,the sleep apnea hypopnea index and blood oxygen saturation in the observation group were significantly better,P＜0.05;After treatment,the maintenance time of sleep disordered breathing in observation group was significantly shorter than that in control group,P＜0.05;After treatment,compared with the control group,the effect of observation group was significantly higher,P＜0.05;After treatment,the incidence of drug side effects was slightly higher in the observation group compared with the control group,but there was no statistical difference in data comparison P＞0.05.Conclusions The combination of aminophylline and pentoverine in elderly patients with sleep apnea can actively improve the effect,effectively improve the hypopnea index and nighttime blood oxygen saturation,shorten the maintenance time of sleep apnea disorders,improve drug safety,and provide a new idea for clinical treatment.

Abstract:Objective To observe the effect of swallowing rehabilitation training combined with neuromuscular electrical stimulation on swallowing function in patients with swallowing disorders after stroke.Method 70 patients with swallowing disorders after stroke who received treatment at our hospital from November 2021 to November 2022 were selected.All patients were randomly divided into a study group and a control group using a random number table method.35 patients in the study group received swallowing rehabilitation training combined with neuromuscular electrical stimulation,while 35 patients in the control group received swallowing rehabilitation training.The differences between the two groups after treatment were compared.Result The swallowing function of the study group patients.The complications and other indicators were lower than those of the conventional group(P＜0.05),and the mobility of the hyoid laryngeal complex,such as hyoid bone upward movement and hyoid bone forward movement,was higher in the study group than in the conventional group(p＜0.05).There was no significant difference in indicators such as thyroid cartilage upward movement and thyroid cartilage forward movement between the two groups(p＞0.05).Conclusion The combination of swallowing rehabilitation training and neuromuscular electrical stimulation for patients with swallowing disorders after stroke has a significant clinical effect and is worthy of widespread clinical application.

Abstract:Objective To evaluate the effect of throat sword spray on children with acute pharyngitis,and to analyze the pharmaceutical situation.Methods A total of 64 children with acute pharyngitis admitted to our hospital from March 2021 to March 2022 were divided into two groups by odd-even method,of which 32 cases were included in the experimental group and the remaining 32 cases were used as comparison group.Children in the experimental group were treated with laryngeal sword spray,and children in the comparison group were treated with Yanbian granule.Clinical efficacy,inflammatory factor levels,clinical symptom scores and adverse reactions were analyzed between groups.Results(1)The total clinical effective rate of the experimental group was higher than that of the control group,the difference was significant(P＜0.05);(2)The levels of CRP,IL-6 and TN F-α in the experimental group were significantly lower than those in the control group(P＜0.05);(3)The scores of laryngeal ringing,hoarseness,pharyngeal burning or dryness in the experimental group were lower than those in the control group,and the differences were significant(P＜0.05);(4)The adverse reaction rate of the experimental group was lower than that of the control group,and the difference was significant(P＜0.05).Conclusion Laryngeal sword spray in children with acute pharyngitis has ideal efficacy and safety.It can inhibit the reaction of inflammatory factors and is beneficial to the improvement of disease symptoms.It is worth promoting.

Abstract:Objective To study the application effect of multi-slice spiral CT and image post-processing on the diagnosis and treatment of inner ear in neurogenic hearing loss.Method For patients with neurogenic hearing loss who were admitted to the hospital between January 2021 and January 2023,100 cases were selected based on research activity needs and grouped using a random number table method.This study compared the diagnostic accuracy of X-ray films and multi-slice spiral CT between the control group(50 cases)and the experimental group(50 cases).Result After sorting out the data on the diagnosis rate,misdiagnosis rate,missed diagnosis rate,etc.between the control group and the experimental group,the diagnosis rate of the control group(80％)was significantly lower than that of the experimental group(100％),and there was a statistically significant difference in numerical values between the groups(P＜0.05).Conclusion In the diagnosis of inner ear diseases,multi-slice spiral CT three-dimensional reconstruction technology is used as the working method.Unlike previous clinical X-ray diagnostic methods,it has a high sensitivity to the inner ear and can provide doctors with relatively reliable data to improve clinical diagnosis rate.At the same time,doctors can provide relatively reliable treatment plans based on the condition of inner ear damage in children.The performance of multi-slice spiral CT three-dimensional reconstruction technology in the diagnosis of inner ear diseases in patients has a relatively high accuracy in existing diagnostic techniques,and is worthy of wide clinical application.

Abstract:Eustachian tube dysfunction is closely related to many diseases of the middle ear,But at present,the unde rstanding of eustachian tube dysfunction is unclear,there is still no method with high accuracy as the gold standard for dia gnosing eustachian tube dysfunction,In clinical practice,besides inquiring about eustachian tube dysfunction,related auxi liary examinations are usually needed,Through comprehensive diagnosis to increase the accuracy of diagnosis.Compared with other methods,imaging examination can observe the lesion position of eustachian tube more intuitively and clearly,I t plays a great role in determining the surgical plan before operation and guiding the treatment.This paper summarizes an d expounds the common imaging examination methods of eustachian tube at present.

Abstract:Objective To investigate the clinical efficacy of abduction suspension combined with modified uvula palatopharyngoplasty in the treatment of obstructive sleep apnea syndrome(OSAHS).Method Patients with obstructive sleep apnea syndrome(OSAHS)admitted to Sihong Hospital in Jiangsu Province were selected as the research subjects.The enrollment period was from September 2020 to October 2023.A total of 84 samples were randomly selected and divided into an observation group and a control group,with 42 cases in each group,using the"random number table method"as the grouping method.The observation group underwent abduction suspension combined with modified uvula palatopharyngoplasty,while the control group underwent modified uvula palatopharyngoplasty.Compare the efficacy of two groups and evaluate the changes in apnea hypopnea index(AHI),lowest blood oxygen saturation(LSaO2),and Epworth Sleepiness Scale(ESS)scores before and after treatment.Result Six months after surgery,both groups showed significant improvement in AHI,LSaO2,and ESS scores compared to preoperative levels(P＜0.05),and the observation group was superior to the control group(P＜0.05).The total effective rate of the observation group(95.23％)was higher than that of the control group(78.57％)(P＜0.05).Conclusion The combination of abduction suspension and modified uvula palatopharyngoplasty is effective in treating OSAHS,reducing AHI,increasing minimum oxygen saturation,and improving drowsiness.

Abstract:Objective To evaluate the clinical value of ofloxacin in the treatment of acute suppurative otitis media.Methods The study sample was limited to 88 patients with acute suppurative otitis media admitted to our hospital from January 2021 to July 2022.They were randomly divided into a control group and an intervention group,and the clinical intervention effect of ofloxacin in the treatment of acute suppurative otitis media was evaluated.Results Ofloxacin has high clinical application value in the treatment of suppurative otitis media.By relying on the use of drugs,it can significantly control acute symptoms,optimize clinical symptoms,optimize patients'physiological status,and promote the improvement of intervention efficiency(P＜0.05);In the stage of treatment of acute suppurative otitis media and medical hepatitis with ofloxacin,the relevant data of patients'inflammatory factor indicators fully prove that ofloxacin has a good clinical intervention in the treatment of suppurative otitis media,and the effect can significantly control the acute symptoms,fully reflecting the effect of subsequent medical intervention plans,optimizing the patient's pathological status and prognosis quality(P＜0.05).Conclusion The relevant medical research results fully confirm that the use of ofloxacin in the emergency intervention stage of acute suppurative otitis media can effectively optimize the pathological manifestations and control acute symptoms,improve the overall efficiency of medical intervention,promote the effective improvement of inflammatory factors in the patient's body,and have extremely important application value.

Abstract:Objective To analyze and evaluate the effect of comprehensive nursing intervention in the perioperative period of radical operation in patients with thyroid cancer and its influence on patients.Methods Select the time node for November 2018～November 2022 period,the hospital received 80 cases of thyroid patients,all patients were treated with radical thyroidectomy,through the computer sampling method was divided into control group and experimental group,each group of 40 cases,the control group was given perioperative routine nursing,the experimental group was given perioperative comprehensive nursing intervention.The pain scores of 1 and 3 days after surgery and the length of hospital stay were compared between the two groups.The incidence of clinical complications and nursing satisfaction were also compared between the two groups.Results 1 day after the operation,the pain score of the experimental group was insignificant(P＞0.05),3 days after the operation,the pain score of the experimental group was lower than that of the control group(P＜0.05).The duration of hospitalization in the experimental group was shorter than that in the control group,and statistical calculation showed that P＜0.05;The nursing satisfaction score of the experimental group was higher than that of the control group.The postoperative complications of the experimental group were 2.50％lower than that of the control group,22.50％,and the calculated results showed that P＜0.05.Conclusion The comprehensive nursing intervention has significant clinical effect in the perioperative period of radical surgery for thyroid cancer patients,which can effectively shorten the length of hospital stay of patients,reduce postoperative complications,and effectively relieve their pain,and the overall clinical nursing satisfaction is higher.

Abstract:Objective To investigate the effect of high-quality nursing intervention mode in the nursing of patients with vertebrobasilar insufficiency vertigo(VBI).Method The inclusion period was January 2022-January 2023.84 VBI patients admitted to the neurology department of the hospital during this period were selected as the main body,and divided by parity method.Among them,42 cases were included in the control group,which received routine nursing,and the remaining 42 cases were included in the research group,which received high-quality nursing intervention mode.Nursing satisfaction,emotional state and quality of life were compared between groups.Results The WHOQOL score and nursing satisfaction of the study group were higher than those of the control group,and the difference was significant(P＜0.05).The SCL-90 score of the study group was lower than that of the control group(P＜0.05).Conclusion The application of high-quality nursing intervention mode is of significant value in VBI patients,which can promote the relief of patients'bad mood,and has positive significance in improving nursing satisfaction and quality of life.

Abstract:Objective To investigate the effect of quality control circle activities on improving the extraction rate of indwelling gastric tubes before discharge in patients undergoing partial supracricoid laryngectomy.Methods A quality control circle group was established to establish a quality control circle activity theme,analyze the reasons for the low rate of indwelling gastric tubes before discharge in patients after partial cricoid laryngectomy,formulate countermeasures and implement them,and compare the rate of indwelling gastric tubes before and after discharge in the two groups of patients.Results The removal rate of indwelling gastric tubes before discharge increased from 29.1％before improvement to 69.1％after improvement,with a statistically significant difference before and after improvement(P＜0.05);The theoretical score of nurses' specialty increased from 63.5 points before improvement to 97.5 points after improvement,and the professional operation score increased from 67.8 points before improvement to 98.6 points after improvement;The radar chart shows that the circle members' abilities in quality control techniques,communication and coordination have significantly improved.Conclusion Quality control circle activities can effectively improve the extraction rate of indwelling gastric tubes before discharge;Improving nurses' specialized knowledge;Promote team development and enhance team cohesion.

Abstract:Objective To study the way of clinical nursing intervention for pregnant patients with ear,nose and throat diseases,and to analyze the results.Methods Fifty patients with otolaryngological diseases during pregnancy were selected to be included in the study,the time range was set as October 2021 to October 2022,the random arrangement of grouping using function was set as 25 cases/group,and the life was set as study group and comparison group,among which the comparison group(routine nursing)and research group(based on the above clinical comprehensive nursing intervention),and the disease knowledge index was analyzed.The measured value of treatment cooperation and nursing effect.Results(1)The content of disease knowledge index was higher in the study group than in the comparison group(P＜0.05).(2)The treatment coordination rate and the achieved rate of periodic review in the study group were higher than those in the comparison group,with statistical significance(P＜0.05);③ The total effective rate of the study group was higher than that of the comparison group,and the difference was statistically significant(P＜0.05).Conclusion The application of clinical comprehensive nursing intervention in patients with otolaryngological diseases during pregnancy is more conducive to disease management.Patients have a correct cognition of the disease,can carry out nursing according to the requirements,regular review,nursing effect is remarkable,worthy of popularization and application.

Abstract:Objective To investigate the diagnostic effect of magnetic resonance water imaging and CT on sensorineural deafness.Methods 60 patients with suspected sensorineural deafness who visited our hospital from January to December 2022 were all confirmed by brainstem auditory evoked potential.Magnetic resonance water imaging technology and CT diagnosis were used to compare and analyze the efficacy of single diagnosis and combined diagnosis.Results A total of 43 cases were positive by CT,including 7 semicircular canals,6,12 vestibular aqueduct malformations,18 internal ear canal malformations;50 cases,including 8,6;13,183,3,and 2 cases of abnormal vascular development in the internal auditory canal.The diagnostic efficacy of the combined test was significantly higher than that of CT diagnosis,and the accuracy,specificity and negative predictive value were significantly higher than that of magnetic resonance water imaging technology(P＜0.05).Conclusion CT technology and magnetic resonance water imaging technology are suitable for clinical diagnosis of sensorineural deafness,the diagnostic accuracy is in line with expectations and can provide reference for follow-up treatment,single diagnostic efficacy is lower than combined diagnosis,each of which has advantages and disadvantages,so it is suggested to select patients according to the actual situation.

Abstract:Objective To explore the clinical value of using fish stone ointment combined with triamcinolone acetonide and econazole cream in the drug treatment of fungal otitis externa.Method From April 2020 to June 2022,data from 120 patients with fungal otitis externa in our hospital were retrospectively selected and grouped based on"differences in drug regimens"(ensuring that 60 cases were included in each group).The control group received routine endoscopic cleaning and treatment,while the observation group received fish oil ointment and triamcinolone acetonide econazole cream.Result Compared with 85.00％of the clinical efficacy data of the control group patients,the observation group showed a higher clinical efficacy(P＜0.05).After treatment,compared with the observation data of the control group,the observation group showed significantly lower scores for symptoms such as ear itching and ear pain(P＜0.05).Compared with the 5.00％adverse reactions and 6.66％recurrence rate in the control group,the incidence of adverse reactions and recurrence rate in the observation group were significantly lower(P＜0.05).Conclusion The use of fish stone cream and triamcinolone acetonide econazole cream in the treatment of fungal external auditory canal inflammation has significant advantages,which can improve the total effective rate of treatment,reduce symptom scores,and ensure treatment safety.

Abstract:Objective To evaluate the diagnostic value of spiral CT in cervical lymph node metastasis of laryngeal and laryngeal cancer,and to provide reference for the clinical diagnosis of the disease.Methods The study period was from March 2021 to March 2010,and 63 patients with laryngeal cancer admitted to our hospital during this period were selected.All patients underwent routine ultrasonography and multi-slice spiral CT examination.Pathological diagnosis results were taken as the gold standard,and lymph node metastasis,accuracy,specificity and sensitivity of the two diagnostic methods were analyzed.Results Pathological results showed that there were 19 patients with cervical lymph node metastasis among 63 patients,accounting for 30.16％,and 44 cases without metastasis,accounting for 69.84％.Routine ultrasonic examination results showed that 15 patients with cervical lymph node metastasis,accounting for 23.81％,and 48 patients without metastasis,accounting for 76.19％.The results of multi-slice spiral CT showed that there were 20 patients with cervical lymph node metastasis,accounting for 31.75％,and 43 patients without metastasis,accounting for 68.23％.The accuracy,specificity and sensitivity of multislice spiral CT were significantly higher than those of conventional ultrasonography,and the differences were statistically significant(P＜0.05).There was no statistical value between the staging results of multi-slice spiral CT and the postoperative pathological results(P＞0.05).Conclusion Spiral CT examination for laryngeal cancer patients can effectively diagnose whether there is cervical lymph node metastasis in patients,and also can determine the preoperative staging,with high detection accuracy and sensitivity,which can provide guidance for clinical surgical treatment and postoperative rehabilitation program formulation.

Abstract:Objective To explore the clinical effect of drug therapy combined with acupuncture and massage on tinnitus and deafness.Methods A total of 80 cases of tinnitus and deafness from January 2001 to 20232001 in our hospital were 2021,in the treatment group,40 cases were treated with acupuncture and massage,and the indexes of the two groups were compared,such as effective rate of treatment,quality of life and TCM syndrome integral.Results 1 the effective rate of qualitative treatment:the total effective rate recorded in the treatment group was higher than that in the control group(p＜0.05),2 the scores of TCM symptoms and tinnitus disability/loudness:the scores of Tinnitus Noise,Vertigo and tinnitus disability,etc.,3 quality of life:the scores of physiological and psychological functions in the treatment group were higher than those in the control group(p＜0.05)4 hemorheology:the whole blood viscosity of the treatment group was lower than that of the control group(p＜0.05).Conclusion The diagnosis and treatment of tinnitus and deafness based on routine Western medicine combined with acupuncture and massage is more effective,which can effectively improve the symptoms,reduce the disability caused by tinnitus,correct the hemorheology,and optimize the quality of life.

Abstract:Objective To explore the curative effect of nasal septum deviation correction under nasal endoscope in the treatment of intranasal contact headache.Methods Using the target positioning research method,56 patients with intranasal contact headache admitted to our hospital from January 2022 to December 2022 were selected as the experimental samples.According to the differences in treatment methods,they were equally divided into two groups.28 patients in the control group were treated with conventional symptomatic support treatment,and 28 patients in the experimental group were treated with correction of nasal septum deviation under nasal endoscopy.The clinical efficacy and prognosis of the two groups were observed.Result The clinical efficacy comparison between the experimental group and the control group was 96.43％(27/28)and 64.29％(18/28),and the adverse reactions were 3.57％(1/28)and 35.71％(10/28),with statistical significance(P＜0.05).The comparison of the pain symptom relief score and quality of life scale score between the experimental group and the control group was(9.35±0.18)and(7.32±0.09),respectively,with statistical significance(P＜0.05)compared to(37.95±2.34)and(25.38±3.29).Conclusion In the treatment of patients with intranasal contact headache,the clinical efficacy and safety of correction of nasal septum deviation under nasal endoscope are both high,with high clinical efficacy and low incidence of adverse reactions,which can be vigorously promoted in the clinical treatment of such patients.

Abstract:Objective To explore the clinical effect of Chaiqin Qingqiao decoction on secretory otitis media(som).Method A total of 64 patients with secretory otitis media were enrolled in the study from March to 20212023,the treatment group was treated with Chaiqin Qingqiao decoction on the basis of the control group.The effective rate,pure tone threshold of Qi conduction,symptom improvement score and inflammatory factors were compared.Results ① the effective rate of the treatment group was higher than that of the control group(p＜0.05);② time for improvement of symptoms and pure tone auditory threshold of air conduction:the mean value of pure tone auditory threshold of air conduction and time for improvement of symptoms in the treatment group were lower than those in the control group(p＜0.05);③ inflammatory factors:the levels of IL-6 and TNF-α in the treatment group were significantly lower than those in the control group(p＜0.05);4 adverse reactions:there was no significant difference between the two groups in adverse reactions,such as dizziness and nausea(p＞0.05).Conclusion Chaiqin Qingqiao decoction is effective in the diagnosis and treatment of secretory otitis media(syndrome of stagnation of heat in the liver and lung).It can relieve symptoms,weaken the expression of inflammatory factors,promote hearing improvement,and has less adverse reactions.