咽喉部术后止痛装置的设计及其应用效果  

An Analgesic Device after Pharyngolaryngeal Surgery:Design and Effect Evaluation

作　　者：陈利琴[1] 刘明[2] 陈玲燕 陆瑜慧 刘镒 陈莉莉 周妍 CHEN Liqin;LIU Ming;CHEN Lingyan;LU Yuhui;LIU Yi;CHEN Lili;ZHOU Yan(Department of Oral and Craniomaxillofacial Surgery,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Department of Nursing,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine)

机构地区：[1]上海交通大学医学院附属第九人民医院口腔颅颌面科,上海200011 [2]上海交通大学医学院附属第九人民医院护理部

出　　处：《解放军护理杂志》2021年第3期78-80,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：上海交通大学医学院2018年度护理科研重点项目(Jyhz1815)。

摘　　要：目的设计制作咽喉部术后止痛装置,并评估其应用效果。方法2018年5月至2019年10月,便利抽样法选择某院口腔颅颌面科病房收治的咽喉部手术患儿200例为研究对象,根据收治时间先后将其分为对照组和观察组各100例,对照组术后咽喉部使用普通退热贴,观察组应用咽喉部术后止痛装置,评价并比较两组患儿的术后疼痛情况及止痛装置的使用依从性。结果术后2 h,两组患儿疼痛评分的差异无统计学意义(P>0.05);术后24 h、出院日,观察组患儿的疼痛评分均低于对照组患儿(均P<0.01);观察组和对照组患儿止痛装置的使用依从率分别为89.00%(89/100)、51.00%(51/100),两组比较,差异有统计学意义(χ^(2)=34.381,P<0.01)。结论咽喉部术后止痛装置的应用有利于减轻患儿疼痛,提高患儿的依从性,值得临床推广。Objective To design the analgesic device used after pharyngolaryngeal surgery,and evaluate its application effects.Methods Convenience sampling was used to select 200 children who received pharyngolaryngeal surgery in the Department of Oral and Craniomaxillofacial Surgery of one hospital from May,2018 to October,2019.These children were divided into the control group and the observation group according to the sequence of surgery,with 100 children in each group.The control group used ordinary cooling gel on the throat after surgery,and the observation group used the analgesic device after pharyngolaryngeal surgery.Severity of pain after surgery,and the compliance of using the device were evaluated and compared between the children of the two groups.Results There was no statistical difference between the pain scores of the two groups at 2h after surgery(P>0.05).The pain scores of the observation group at 24h after surgery and on the day of discharge were significantly lower than those of the control group(all P<0.01).The compliance of using the device in the observation and control group were 89.00%(89/100),and 51.00%(51/100),respectively and there was significant difference between the two groups(χ^(2)=34.381,P<0.01).Conclusions Application of the analgesic device after pharyngolaryngeal surgery can help to relieve the children’s pain and improve their compliance,which is worthy of clinical promotion.

关 键 词：止痛装置 咽喉部手术 设计 应用效果 

分 类 号：R472.4[医药卫生—护理学]