缓解鼻腔填塞期间患者口咽干燥感方法初探  

A preliminary study on the method of relieving oropharyngeal dryness in patients during nasal tamponade

作　　者：陈莉 徐泓 曹秀红 邱月 怀德 CHEN Li;XU hong;CAO Xiu-hong(Department of Otolaryngology,Huai'an Hospital Affiliated to Xuzhou Medical University,Huai'an,Jiangsu 223002,China)

机构地区：[1]徐州医科大学附属淮安医院耳鼻喉科

出　　处：《中华全科医学》2018年第12期2118-2120,共3页Chinese Journal of General Practice

基　　金：2017年度江苏省第五期“333工程”科研资助立项项目(BRA2017239);江苏省卫计委2017年度立项面上课题(H2017012);淮安市重点研发计划(社会发展)

摘　　要：目的评价新方法改善鼻腔填塞期间患者出现的口咽干燥感的效果。方法选取2016年12月—2017年5月在徐州医科大学附属淮安医院耳鼻喉科在全麻下接受手术,并且行鼻腔填塞术的患者118例。将118例患者随机分成对照组和观察组,每组各59例,对照组实施传统的常规护理方法,观察组使用改良后的口咽加湿护理方法,即使用常规的吸氧装置不加湿化液,先将两根吸氧管剪断,再用输液三通将两根剪断的吸氧管和雾化器连接管连接起来,一端接吸氧装置,一端接加湿器,一端接完整的吸氧管为患者口腔供氧。观察比较2组患者口咽干燥发生率、咽痛发生率及对护理的满意度情况。结果观察组口咽干燥发生率为40.68%,对照组患者口咽干燥发生率为89.83%,观察组患者口咽干燥发生率明显低于对照组,差异有统计学意义(P<0.05);观察组的咽痛发生率为8.47%,对照组咽痛发生率为62.71%,观察组患者咽痛发生率明显低于对照组,差异有统计学意义(P<0.05);观察组的护理满意度为91.52%,对照组的护理满意度为76.27%,观察组的护理满意度明显高于对照组,差异有统计学意义(P<0.05)。结论改良后的口咽加湿护理方法能更好地降低患者在鼻腔填塞期间因张口呼吸而导致的口咽干燥感;提高患者咽部舒适度,提高患者咽部护理满意度,增进患者的食欲。Objective To evaluate the effect of new methods in improving the oropharyngeal dryness of patients during nasal tamponade. Methods From December,2016 to May,2017,118 patients who underwent general anesthesia under otolaryngology and underwent nasal tamponade were randomly divided into control group and the observation group,with 59 patients in each group. The control group implemented the traditional routine nursing method,and the observation group used the improved oropharyngeal humidification method,i. e. ,the conventional oxygen-absorbing device was not humidified,but cut the two oxygen absorbing tubes first,and then connected the two cut oxygen absorbing tubes and the atomizer connecting tube with the infusion tee. One end is connected to the oxygen absorbing device,one end is connected to the humidifier,and one end is connected to the complete oxygen absorbing tube to supply oral oxygen. The incidence of oropharyngeal dryness and the incidence of sore throat and satisfaction with nursing were compared between the two groups. Results The incidence of oropharyngeal dryness was 40. 68% in the observation group and 89. 83% in the control group. The incidence of oropharyngeal dryness in the observation group was significantly lower than that in the control group ( P < 0. 05) . The incidence of sore throat was 8. 47% in the observation group and 62. 71% in the control group. The sore throat in the observation group was significantly lower than that in the control group ( P < 0. 05) . The nursing satisfaction of the observation group was 91. 52%,the nursing satisfaction of the control group was 76. 27%,and the nursing satisfaction of the observation group was significantly higher than that of the control group,and the difference was statistically significant ( P < 0. 05) . Conclusion The improved method can reduce the dry sensation of mouth and pharynx caused by mouth respiration during nasal tamponade,improve the comfort of pharynx,improve the satisfaction of pharyngeal care,and promote the patients’appetite.

关 键 词：鼻腔填塞 口咽干燥 口咽加湿护理方法 

分 类 号：R473.76[医药卫生—护理学] R765.9[医药卫生—临床医学]