不同组合药液雾化吸入减轻甲状腺术后患者咽喉水肿并发症的效果观察  

Reducing effect of atomizing inhalation of physic liquor of various combinations on post-sugery thyroid gland patiemts oedema throat

作　　者：劳旺兴 

机构地区：[1]广东湛江遂溪县人民医院,524300

出　　处：《中国医学创新》2011年第5期59-61,共3页Medical Innovation of China

摘　　要：目的观察不同组合药液雾化吸人减轻甲状腺术后患者咽喉水肿并发症的效果。方法将60例甲状腺手术患者分为3组,每组20人;A组应用生理盐水+α-糜蛋白酶+地塞米松雾化吸入;B组应用生理盐水+地塞米松+庆大霉素雾化吸入;C组医用蒸馏水+痰易净+地塞米松雾化吸入。观察3组患者手术后的1～5 d的痰量、痰液黏稠度的变化及血氧饱和度。结果 C组雾化吸入治疗后,痰液黏稠度、排痰量及血氧饱和度等明显优于A、B组,差异有显著性(P<0.05)。结论甲状腺术后患者采用医用蒸馏水+痰易净+地塞米松雾化吸入能减轻甲状腺术后患者咽喉水肿并发症。Objective To study the reducing effect of atomizing inhalation of physic liquor of various combinations on postanterior thyroid gland surgery patiemt oedema throat. Methods The 60 cases of postanterior thyroid gland surgery patients were randomly divided into 3 groups ： Group A atomizing was treated with saline and a - chymotrypsin ; Group B was treated with 0.9% sodium chloride and gentamiqin and DEX; Group C was treated with distilled water and mucofilin and DEX. The 3 groups phlegm of viscosity and blood oxygen saturation were measured in 1 -5 d after treatment. Results The each groups different time phlegm of viscosity and clearance of phlegm was significantly（ P 〈 0.05 ） ; Group C postoperation of 1 - 5 d, decreased of phlegm and phlegm of viscosity. Conclusion The atomizing inhalation of 0. 45% sodium chloride and mucofilin and DEX can reduce the postanterior thyroid gland surgery patients oedema throat.

关 键 词：甲状腺术后 咽喉水肿 雾化吸入 

分 类 号：R653[医药卫生—外科学]