ANALYSIS OF NURSING INTERVENTIONS AND EFFECT OF MICROSCOPIC NERVE DECOMPRESSION IN PATIENTS WITH PERIPHERAL FACIAL PARALYSIS

Xueju Cai, Qunhui Li, Ziping Xie, Lin Liu^*

Jiangxi Provincial People`s Hospital, Nanchang 330006, PR China

Objective: To evaluate the curative effect of microscopic nerve decompression and the influence of different postoperative nursing interventions on the rehabilitation of patients.

Methods: A total of 80 patients with peripheral facial paralysis admitted to the otolaryngology outpatient department and neurology inpatient department of XX Hospital from February 2018 to February 2020 were selected as study subjects. They were randomly divided into two groups undergoing either traditional treatment or microscopic facial nerve decompression treatment. House-Brackmann (H-B) facial nerve function, signs and symptoms scores, and electroneurography (ENoG) latency were measured before and after the treatment. After treatment, the traditional treatment group and the microscopic facial nerve decompression treatment group were once again randomly divided into two groups subjected to either routine nursing measures or systematic nursing measures, following which the therapeutic effects were recorded. 

Results: The results showed that facial paralysis was improved by both traditional treatment and microscopic facial nerve decompression treatment, while the postoperative H-B score, symptoms and signs scores, and ENoG of the facial nerve decompression treatment group were all better than those of the traditional treatment group (P<0.05). In both the traditional treatment group and the facial nerve decompression treatment group, the therapeutic significance and Port-Mann scores of the systematic nursing measures were superior to those of the routine nursing measures (P<0.05). 

Conclusion: Thus, microscopic facial nerve decompression has an excellent curative effect in peripheral facial paralysis that can be further improved with systematic nursing measures, and the value of these interventions warrants their promotion in the clinic