【摘要】 目的通过前瞻性的病例对照研究探讨精确气道湿化对低温等离子扁桃体切除术后患者伤口出血量、咽痛、黏膜淤血水肿和痰液黏稠度的影响。方法将58例患者按随机数字表分为如下3组:精确气道湿化组、氧气雾化吸入组和对照组。精确气道湿化组采用AIRVOTM系列呼吸湿化治疗仪雾化吸入,氧气雾化吸入组采用布地奈德混悬液氧气雾化吸入,对照组采用生理盐水行氧气雾化吸入。术后连续3 d对患者伤口出血量、咽痛、黏膜淤血水肿情况和痰液黏稠度进行评估。结果精确气道湿化组和氧气雾化吸入组患者术后第2天、第3天咽痛均较对照组明显改善(P均<0.001),且精确气道湿化组术后黏膜淤血水肿及痰液黏稠度改善均明显好于氧气雾化吸入组和对照组(P均<0.05)。结论精确气道湿化可显著减轻低温等离子扁桃体切除术后伤口疼痛、改善黏膜淤血水肿和痰液黏稠度,促进患者早期恢复。更多还原

【Abstract】 OBJECTIVE To investigate the effect of accurate airway humidification on hemorrhage,pharyngalgia,mucosal edema and sputum viscosity in patients with low-temperature plasma coblation-assisted tonsillectomy.METHODS 58 cases were divided into three groups by using random numbers.In accurate airway humidification group,atomizing inhalation was carried out by AIRVOTM series apparatus;in oxygen atomizing group,budesonide suspension was used;in control group,saline was used.We evaluated the hemorrhage,pharyngalgia,mucosal edema and sputum viscosity in 3 consecutive postoperative days.RESULTS Pharyngalgia in accurate airway humidification group and in oxygen atomizing group were both significantly reduced than that of the control group(P<0.001).Besides,in accurate airway humidification group,mucosal edema and sputum viscosity were significantly improved than that of the oxygen atomizing group(P<0.05)and control group(P<0.05).CONCLUSION Accurate airway humidification could reduce the complications such as pharyngalgia,mucosal edema and purulent sputum after low-temperature plasma coblation-assisted tonsillectomy,and could accelerate recovery from surgery.更多还原