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康复新液联合布地奈德氧气雾化吸入在扁桃体术后的应用效果

Effect of Rehabilitation New Liquid combined with Budesonide oxygen nebulized inhalation in the postoperative period of tonsil surgery

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【作者】 管丽君刘艳秀陈宪华

【Author】 GUAN Lijun;LIU Yanxiu;CHEN Xianhua;Department of Otorhinolaryngology, Ganzhou People’s Hospital,Jiangxi Province;

【机构】 江西省赣州市人民医院耳鼻喉科

【摘要】 目的 探讨康复新液和布地奈德氧气雾化吸入联合用于扁桃体术后患儿中的应用效果。方法 选取2023年10月至2024年10月赣州市人民医院需行扁桃体摘除术的120例患儿作为研究对象,采用随机数字表法将其分为对照组A(40例)、对照组B(40例)和试验组(40例),对照组A使用生理盐水漱口+地塞米松氧雾化干预,对照组B使用单独的康复新液干预,试验组使用康复新液+布地奈德氧气雾化吸入干预。比较三组的临床疗效,比较三组术后24、36 h和术后3 d的疼痛情况[视觉模拟评分法(VAS)]、术后出血量和咽部不适情况。结果 三组临床治疗总有效率比较,差异有统计学意义(P<0.05);Bonferroni方法校正结果显示,试验组的总有效率高于对照组A、对照组B,差异有统计学意义(P<0.017),对照组A和对照组B总有效率比较,差异无统计学意义(P>0.017)。试验组术后24、36 h和术后3 d的VAS评分低于对照组A和对照组B,差异有统计学意义(P<0.05)。试验组术后24、36 h和术后3 d的出血量低于对照组A和对照组B,差异有统计学意义(P<0.05)。试验组术后24、36 h和术后3 d咽部异物感、咽痒、吞咽困难、咽干症状评分低于对照组A和对照组B,差异有统计学意义(P<0.05)。结论 将康复新液联合布地奈德氧气雾化吸入对扁桃体术后患儿的疗效显著,可降低患儿的术后疼痛,减少患儿的术后出血症状,缓解咽部不适,具有临床推广价值。

【Abstract】 Objective To explore the effect of combined use of Rehabilitation New Liquid and Budesonide Oxygen Nebulized Inhalation in postoperative tonsil patients. Methods A total of 120 cases requiring tonsillectomy in Ganzhou People’s Hospital from October 2023 to October 2024 were selected as study subjects, and they were divided into control group A(40cases), control group B(40 cases) and experimental group(40 cases) by random number table method, control group A used saline gargle + Dexamethasone oxygen nebulization intervention, control group B used Rehabilitation New Liquid intervention alone, and the experimental group used Rehabilitation New Liquid + Budesonide oxygen atomized inhalation intervention. The clinical efficacy of the three groups was compared, and visual analogue scale(VAS), postoperative bleeding and pharyngeal discomfort were compared among the three groups at 24, 36 h and 3 d after surgery. Results The total effective rate of the three groups was compared, the difference was statistically significant(P<0.05). The calibration results of Bonferroni method showed that the total effective rate of experimental group was higher than that of control group A and control group B, and the differences were statistically significant(P<0.017), while the total effective rate of control group A and control group B was not statistically different(P>0.017). VAS scores of experimental group at 24, 36 h and 3 d after surgery were lower than those of control group A and control group B, and the differences were statistically significant(P<0.05). The blood loss of experimental group at 24, 36 h and 3 d after surgery was lower than that of control group A and control group B, and the difference was statistically significant(P<0.05). The scores of pharyngeal foreign body sensation,pharyngeal itch, dysphagia and dry pharynx in experimental groups were lower than those in control group A and control group B 24, 36 h and 3 d after surgery, and the differences were statistically significant(P<0.05). Conclusion The efficacy of Rehabilitation New Liquid combined with Budesonide oxygen nebulized inhalation on post-tonsillectomy patients is remarkable, which can reduce the postoperative pain of patients, reduce the postoperative bleeding symptoms of patients and relieve the pharyngeal discomfort of patients, and it has clinical promotion value.

【基金】 江西省中医药管理局科技计划项目(2023A0182)
  • 【文献出处】 中国当代医药 ,China Modern Medicine , 编辑部邮箱 ,2025年13期
  • 【分类号】R766.9
  • 【下载频次】8
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