Abstract:Objective To evaluate the influence of syndrome differentiation nursing on anxiety and depression in the nursing of secretory otitis media.Methods Research survey interval for March 2020 to March 2023,the survey subject in our otolaryngology department of patients with secreted otitis media,select 92 cases according to computer random allocation method,control group and observation group 46 cases,the corresponding implementation of routine nursing and dialectical nursing,comparative analysis of patients nursing satisfaction,anxiety,depression and sleep state.Results Compared with the control group,the total satisfaction of the observation group was statistically higher(P＜0.05);the mood scores before nursing,the anxiety and depression scores of the observation group were lower than those of the control group,and the differences were statistically significant(P＜0.05.);considering the measurement results of the control group,the sleep quality scores of the patients during the nursing period in the observation group were significantly low,and the statistical difference was P＜0.05.Conclusion The implementation of dialectical nursing mode for patients with secretory otitis media is not only conducive to improving patients' mood,improving clinical service quality,but also standardizing and guiding patients to maintain a comfortable state and actively cooperate with treatment,which is worthy of clinical adoption.

Abstract:Objective To explore the effect of detailed nursing intervention on quality of life and negative emotions in patients with chronic suppurative otitis media.Methods Based on the random number table,90 patients with chronic suppurative otitis media collected from April 2020 to April 2021 in our hospital were included in this study and divided into the reference group(45 cases)and experimental group(45 cases).The reference group received routine nursing,and the experimental group received detailed nursing intervention.The quality of life and negative emotion before and after intervention were compared between the two groups.Results Before intervention,all the scores of quality of life in the two groups were different(P＞0.05).After intervention,all scores of quality of life in the experimental group were higher than those in the control group,and the calculation results between groups showed P＜0.05.Before intervention,there was no significant negative emotion comparison between the two groups(P＞0.05).After intervention,all scores of negative emotion in the experimental group were lower than those in the control group,and the statistical results showed that P＜0.05.Conclusion For patients with chronic suppurative otitis media,the implementation of detailed nursing intervention can effectively improve the overall quality of life of patients,and it is particularly important for relieving their negative emotions.It is the first choice for patients with chronic suppurative otitis media,worthy of promotion and application.

Abstract:Objective To explore the effect of nasal endoscopy,and to evaluate the effect on clinical efficacy and the incidence of postoperative complications.Methods The study object mainly patients undergoing endoscopic nasal septum deviation correction in our hospital,the operation time from January 2022 to December 2022,a total of 68 cases,using random number method to divide the participants into control group(n=34),observation group(n=34),give control group routine care,observation group with operating room nursing effect of two groups,the evaluation index includes perioperative index and incidence of postoperative complications.Results After taking the corresponding nursing measures,compared with the control group,the extubation time of the observation group were shorter,and the pain score of the observation group was lower than that of the control group,and the comparison difference was P＜0.05;the incidence of postoperative complications in the two groups was determined,the value obtained in the observation group was low,and the comparison result was P＜0.05.Conclusion In providing the operating room care for patients in the correction of nasal endoscopy,it can not only prevent the occurrence of postoperative complications,but also accelerate the rehabilitation process of patients,and shorten the hospitalization time,which is worthy of reference.

Abstract:Objective To analyze the nursing cooperation measures of taking out foreign bodies in pharynx and larynx under fibrolaryngoscope,and seek the best nursing plan.Methods Eighty-six patients who underwent foreign body removal in pharynx and larynx under fiber laryngoscope from November 2021 to November 2022 were selected as the main body,and divided into groups by odd-even method.Among them,43 patients were the reference group,and the remaining 43 patients were the observation group,and the nursing effect,bad mood and nursing satisfaction were compared.Results(1)The total effective rate of nursing in the observation group was higher than that in the reference group,with significant difference and value(P＜0.05);(2)The SCL-90 score of the observation group was lower than that of the reference group,with significant difference and value(P＜0.05);(3)The nursing satisfaction score of the observation group was higher than that of the reference group,with significant difference and value(P＜0.05).Conclusion The effect of optimizing nursing cooperation measures in the removal of foreign bodies from pharynx and larynx under fiber laryngoscope is remarkable,which can improve the emotional state of the body,improve nursing satisfaction and promote the successful completion of foreign body removal.

Abstract:Objective To investigate the effect of etomidate plus propofol anesthesia in patients undergoing otolaryngology surgery.Methods Data were collected from 90 patients who underwent otolaryngology surgery in our hospital from January 2022 to December 2022,"Double-blind method"was divided into control group(propofol anesthesia),Observation Group(etomidate+propofol anesthesia)45 cases each,the two groups were compared.Results Compared with the control group,the amplitude of HR,MAP,SBP and DBP in the Observation Group was smaller,and the values of Cor,MDA and TAC were higher,while the Hemodynamics of SOD were lower in the Observation Group The excellent and good rate(97.78％)in observation group was higher than that in control group(86.67％),and the adverse reaction rate(4.44％)in observation group was lower than that in control group(17.78％),P＜0.05(with statistical significance).Conclusion Etomidate+propofol anesthesia can stabilize the Hemodynamics of patients undergoing otolaryngology surgery,reduce stress reaction,improve the effect of anesthesia and avoid side effects.

Abstract:Objective To discuss the effect and prognosis of systemic nursing for patients with chronic sinusitis and nasal polyps undergoing endoscopic surgery.Methods A total of 104 patients with chronic sinusitis and nasal polyps undergoing endoscopic surgery received diagnosis and treatment from January 2020 to November 2022,and were randomly divided into control group(52 cases)(routine nursing)and study group(52 cases)(systematic nursing).Outcome measures:clinical effect,psychological state and pain degree,postoperative complication rate,recurrence rate within 6 months after postoperative follow-up.Results The total effective rate of 96.15％in the study group was significantly higher than 84.62％in the control group,P＜0.05.After nursing,the score indexes of mental state and pain degree in the study group were significantly lower than those in the control group,P＜0.05.The incidence of postoperative complications in the study group(3.85％)was significantly lower than that in the control group(19.23％),P＜0.05.The recurrence rate of the study group within 6 months was significantly lower than that of the control group(9.62％),P＜0.05.Conclusion Systematic nursing for patients with chronic sinusitis and nasal polyp endoscopic surgery can enhance the therapeutic effect,improve physical and mental comfort,reduce complications and recurrence rate.

Abstract:Objective To explore the effect of treating 34 cases of insomnia with auricular acupoint pressure bean combined with emotional nursing.Methods A total of 34 patients with insomnia admitted from January 2022 to May 2023 were divided into groups by random number table method.Among them,17 patients receiving conventional treatment were recorded as control group,and the remaining 17 patients were given auricular point pressure bean+emotional nursing on the basis of conventional treatment.The treatment efficiency and sleep quality were compared.Results The group with higher comparison of effective rate was the experimental group(P＜0.05).The sleep quality(PSQI)score decreased more in the experimental group(P＜0.05).Conclusion In the clinical treatment of insomnia,applying auricular point pressure bean and emotional nursing can achieve better therapeutic effect,which is helpful to improve the sleep quality of patients.

Abstract:Objective To summarize and analyze the current situation of Chinese and Western medicine nursing in recent years,and to provide reference for clinical nursing and follow-up related research.Means Access to CNKI,Wanfang(VIP),Chinese biomedical database,PubMed and other databases to obtain information,after collation,analysis,summed up.Result In recent years,clinical studies have found that Chinese and Western medicine nursing has improved the residual dizziness of otolith,especially the traditional Chinese medicine nursing technology,which has a unique effect on improving the residual dizziness of otolith.Conclusion Traditional Chinese and Western medicine nursing has curative effect on improving the residual symptoms of otolith,but it can not completely remove the lesion at present,and recurrence is difficult to avoid.How to better provide nursing services for patients with otolith and reduce the recurrence rate needs to be further explored.

Abstract:Objective To investigate and analyze the factors associated with airway hyper-responsiveness(AHR)in patients with chronic sinusitis(CRS),in order to provide reference for preventing the occurrence of AHR.Methods From January 2023 to March 2024,100 patients with chronic sinusitis who were treated in hospitals were selected as the research subjects.The occurrence of airway hyper-responsiveness was determined,and the patient's lung function,general information,and peripheral blood eosinophil count were investigated.The influencing factors of airway hyper-responsiveness were analyzed.Results Among the 100 patients,40 were diagnosed as positive for airway hyper-responsiveness,accounting for 40.00％.The first second forced expiratory volume,forced vital capacity,and peak expiratory flow rate of the positive group were significantly lower than those of the negative group(P＜0.05).The peripheral blood eosinophil count in the positive group was significantly higher than that in the negative group(P＜0.05).There was no significant difference in gender,age,and disease duration between the two groups(P＞0.05).There were significant differences in smoking,nasal polyps,and allergic rhinitis between the positive group and the negative group(P＜0.05).Logistic regression analysis showed that peripheral blood eosinophil count,smoking,nasal polyps,and allergic rhinitis were important factors leading to positive airway hyper-responsiveness(P＜0.05).Conclusion It is common for patients with chronic sinusitis to have airway hyper-responsiveness,which can lead to a decrease in lung function.Peripheral blood eosinophil count,smoking,nasal polyps and allergic rhinitis are important factors that lead to positive airway hyper-responsiveness.Targeted interventions should be actively implemented.

Abstract:Objective To evaluate the application effect of seamless operating room nursing in plasma ablation of bilateral tonsils in children.Method Case data was collected from January 2022 to December 2022.The study subjects were children who underwent bilateral tonsil plasma ablation treatment in our hospital.66 cases were randomly divided into a double blind group,with 33 cases in the control group and 33 cases in the observation group.Routine nursing and seamless operating room nursing were performed accordingly.The psychological status(SAS,SDS scores),pain(VAS scores),complications,and nursing satisfaction of the two groups of children were compared.Result Compared with the control group,the incidence of postoperative complications in the observation group was significantly lower(6.06％),and the overall nursing satisfaction was significantly higher(96.97％),with a statistically significant difference(P＜0.05);There was no significant difference in the scores between the two groups before nursing,while the VAS scores,SAS,and SDS scores of the observation group patients were significantly lower than those of the control group after nursing,indicating a statistically significant difference(P＜0.05).Conclusion Providing seamless operating room care for children treated with bilateral tonsil plasma ablation can not only improve service quality,reduce surgical risks,but also effectively alleviate the negative emotions of the children,promote their peace of mind and cooperate with treatment,and is worthy of clinical adoption.

Abstract:Objective To observe the clinical effect of endoscopic surgery combined with nasal and oral glucocorticoid in the treatment of eosinophils with nasal polyps.Methods 280 patients were selected for analysis and divided into observation group and control group,140 patients in each group.The observation group selected endoscopic nasal surgery combined with glucocorticoid for data,and the control group selected endoscopic nasal surgery for treatment.Results After treatment,the observation group and the control group were analyzed,and it was found that the treatment effect of the observation group was better than the control group,and the comparison of the two groups of data was statistically significant(P＜0.05).The recurrence rate of observation group was lower than that of control group(P＜0.05).Conclusions Intranasal endoscopic surgery combined with intranasal and oral glucocorticoid in the treatment of eosinophilic nasal polyps has a good effect,high safety and low overall recurrence rate,so it is worth to use this kind of combined treatment in our clinic.

Abstract:Objective To study the effect of topical hormone and systemic hormone therapy in patients with sudden deafness and tinnitus.Methods 156 patients were randomly selected and divided into control group(78 cases,systemic applied hormone)and observation group(78 cases,local applied hormone)to compare the two groups.Results The hearing threshold and sleep quality in the observation group were significantly better than the control group(P＜0.05).The treatment response rate of the observation group(97.44％)was significantly higher than that of the control group(83.33％)(P＜0.05).The adverse reaction rate of the observed group(3.84％)of the observed group and the control group(3.85％)(P＞0.05).Conclusion For patients with sudden deafness and tinnitus,local hormone therapy can improve the efficacy,quickly restore the hearing threshold,improve the sleep of patients,and have high safety.

Abstract:Objective To explore the effect and value of high-quality nursing in radiotherapy of head and neck cancer.Methods A total of 66 patients with head and neck cancer treated with radiotherapy from January to January 2022 in our hospital were 2021,in the Observation Group,33 patients received high quality nursing service,and the indexes of the two groups were compared,such as acute radiation reaction of mucosa,quality of life and satisfaction.Results 1 acute radiation reaction of mucosa:the incidence and duration of acute radiation reaction of mucosa in the observation group were lower than those in the control group(p＜0.05)2 quality of life:Based on the indexes of physiology,emotion and social status,the values recorded in the observation group were higher than those in the control group,the difference was statistically significant(p＜0.05);4 mental state:the mental state of the Observation Group was better than that of the control group,the difference was statistically significant(p＜0.05).Conclusion High-quality nursing for patients with head and neck cancer after radiotherapy can reduce or avoid the occurrence of acute radiation reaction of mucosa,shorten the duration of symptoms,relieve psychological stress and optimize the prognosis of patients,it is worth learning from.

Abstract:Objective To explore the effect of traditional Chinese medicine(tcm)nursing in perioperative sinusitis.Methods From November 2022 to 2023,802023 sinusitis patients in our hospital were divided into two groups according to the envelope method,comparative Indicators:Rehabilitation Indicators,quality of life,complications,pain level,satisfaction and so on.Results ① Rehabilitation Index:compared with the control group,the improvement of nasal ciliary transmission rate and olfactory function in the observation group was more significant(p＜0.05),②quality of life:in the physiological/social function,vitality and other indexes,the Observation Group was higher than the control group(p＜0.05);③ complications and pain:compared with the control group,the observation group had lower complication rate and lower VAS(p＜0.05),④ Satisfaction Degree:The Observation Group had higher satisfaction degree and record value than the control group(p＜0.05).Conclusion The effect of perioperative nursing of Chinese medicine on sinusitis is significant,which can improve symptoms,relieve pain,promote functional recovery of nose,and benefit the prognosis of patients.

Abstract:Objective To analyze and compare the effect of using and not using high frequency electrotomy in difficult tracheotomy.Methods Selected from January 2018 to June 2022 in the intensive care unit(ICU),72 cases in hospital in patients receiving line next to the bed difficulty tracheotomy as the research object,according to random table method is divided into research group and control group,each group of 36 cases,all patients with surgical tracheotomy in bed,the team in intraoperative fully using the high frequency electricity knife operation,While the control group in intraoperative techniques using conventional surgical method,record of two groups of patients with preoperative general information(age,gender,blood coagulation function),tracheotomy preoperative difficulty factor,intraoperative incision length,intraoperative blood loss,operative time,healing time and postoperative complications after extubation and other related perioperative indicators.Results two groups of patients in the preoperative general information and operation difficult factors is no statistical significance(P＞0.05),but in intraoperative incision length,intraoperative blood loss,operative time,healing time and postoperative complications after extubation related indicators,group was significantly better than control group,the difference was statistically significant(P＜0.05).Conclusion The rational use of high-frequency electrosurgical surgery in difficult tracheotomy at the bedside has the advantages of small incision,less blood loss,short operation time,quick healing of the postoperative mouth and low incidence of postoperative complications,which can better ensure the safety of surgery and reduce the economic burden of patients.

Abstract:Objective To study the anesthetic effect of dexmedetomidine hydrochloride in tonsillectomy and its effect on postoperative cognitive function.Methods In 80 patients undergoing tonsillectomy from June 2021 to June 2022,40 patients were divided into reference group and test group according to random counting method.After anesthesia induction,reference group used saline for continuous infusion,and test group used dexmedetomidine hydrochloride to compare the two groups with anesthesia quality,vital signs changes during anesthesia and postoperative cognitive function.Results The onset of anesthesia,respiratory recovery,consciousness,and extubation recovery time were lower than the control group,P＜0.05.The BIS index and OAA/S scores between the two groups,P＞0.05;however,the BIS index and OAA/S score of the group were significantly lower than that of the control group,P＜0.05.MMSE scores at 1d,P＞0.05;MMSE scores at 4h and 1d were higher than the control group,P＜0.05.Conclusion The use of dexmedetomidine hydrochloride in tonsillectomy can improve the quality of anesthesia,maintain the stability of various vital signs during the operation,and have the adjustment effect for postoperative cognitive function,which is worth promoting.

Abstract:Objective To explore the value of contrast-enhanced MRI in evaluating the efficacy of radiotherapy for nasopharyngeal carcinoma(NPC).Methods 80 patients with nasopharyngeal carcinomal from April 2021 to April 2023 were selected.Conventional MRI scan and enhanced MRI scan were performed before and after radiotherapy,and the lesion diameter change and invasion to surrounding tissues before and after treatment were compared.Results Compared with before treatment,the lesion diameter of patients after treatment was significantly reduced,the detection rate of lymphadenopathy,vague lesion boundary,invasion of oral cavity,invasion of medial pterygoid muscle and invasion of lateral pterygoid muscle was significantly reduced,and the difference was statistically significant(P＜0.05).Conclusion Contrast-enhanced MRI can be used to evaluate the curative effect of radiotherapy for nasopharyngeal carcinoma,which can reflect the diameter and invasion of the lesion.

Abstract:Objective To evaluate the enthusiasm of comprehensive nursing interventions in the perioperative period for thyroid cancer patients undergoing radical surgery.Method A study was conducted on 80 thyroid cancer patients from our hospital(February 2021 to February 2023),who were divided into groups based on the principle of matching basic data(40 cases in each group).The control group received routine nursing care during the perioperative period,while the observation group received comprehensive nursing intervention.Result Compared with the control group,the observation group had shorter time to get out of bed and stay in hospital,and had lower VAS scores(P＜0.05).Compared with the 7.50％incidence of postoperative adverse reactions in the observation group,the incidence rate in the control group was as high as 25.00％(P＜0.05).After nursing,the observation group had higher values for various comfort indicators such as environmental,physiological,and psychological well-being(P＜0.05).Conclusion For thyroid cancer patients undergoing radical surgery,comprehensive nursing intervention during the perioperative period has a significant effect,which can reduce the incidence of postoperative adverse reactions,improve patient comfort,and promote their recovery and discharge as soon as possible.

Abstract:Objective To explore the value of sinus CT in the diagnosis of eosinophilic chronic rhinosinusitis with nasal polyps(eosinophilic chronic rhinosinusitis with nasal polyps,eCRSwNP).Methods Of 120 CRSwNP patients(admitted from 2020.01 to 2020.12),including 50 Non-eCRSwNP patients and 70 eCRSwNP patients,the basic patient characteristics were recorded.All the enrolled patients were treated 7d before the nasal endoscopic sinusitis surgery and underwent sinus CT and routine peripheral blood examination.To explore the application value of sinus CT.Results The EOC count,EOC percentage were higher than the Non-eCRSwNP group(P＜0.05);The bilateral frontal lunuses,sphenoid sinus,anterior ethid sinus,maxillary sinus,E/M ratio and overall Lund-Mackay score were higher than those of the Non-eCRSwNP group(P＜0.05);Multivariate dichotomy Logistics regression analysis by the Enter method,result display,Percent EOS of peripheral blood and lun-Mackay score were the influencing factors in predicting eCRSwNP(P＜0.05);The area under the ROC curve of the percent EOS in peripheral blood combined with the lund-Mackay score is 0.904(95％CI:0.827-0.988),Sensitivity and specificity were 90.90％and 90.30％.Conclusion Sinus CT is of some value in the diagnosis of eosinophilic chronic rhinosinusitis with nasal polyps.

Abstract:Objective Allergic rhinitis(AR)is the most common airway allergic inflammatory disease,and its prevalence is on the rise worldwide,seriously affecting the physical and mental health and quality of life of patients.Method The relationship between environmental pollution and allergic rhinitis was analyzed based on the previous studies.The effects of environmental pollutants(including environmental endocrine disruptors;formaldehyde;PM;SO2;CO;NOx and O3)on allergic rhinitis were reviewed to provide some reference for the prevention of allergic rhinitis and the control of environmental pollutants in the future.Result In recent years,domestic and foreign academic circles have been active in studying the correlation between environmental pollution and AR.Most scholars believe that environmental endocrine disruptors,PM,SO2,O3 and formaldehyde are significantly correlated with AR,but the influence of CO and NOx on AR is controversial.Conclusion AR is affected by environmental pollutants.Therefore,controlling environmental pollutants should not be ignored in the treatment of allergic rhinitis.