氧气雾化吸入体位对颈椎前路多节段减压植骨融合术后吞咽困难的影响  

The effect of aerosol inhalation position on dysphagia after multi-segment anterior cervical decompression and bone graft fusion

作　　者：龙新华[1] 谢蓉[1] 万东花 姜小燕 李冬华[2] 卢路路 周荣平[2] 张国妹[2] LONG Xinhua;XIE Rong;WAN Donghua;JIANG Xiaoyan;LI Donghua;LU Lulu;ZHOU Rongping;ZHANG Guomei(The First Affiliated Hospital of Nanchang University,Nanchang 330006,China;The Second Affiliated Hospital of Nanchang University,Nanchang 330006,China;Nanchang County people s Hospital,Nanchang 330200,China)

机构地区：[1]南昌大学第一附属医院,南昌330006 [2]南昌大学第二附属医院,南昌330006 [3]南昌县人民医院,南昌330200

出　　处：《广州医药》2021年第3期41-44,共4页Guangzhou Medical Journal

基　　金：江西省教育厅科学技术研究项目(180094);江西省卫生计生委科技计划(20181093)。

摘　　要：目的氧气雾化吸入体位对颈椎前路减压植骨融合术后吞咽困难的影响。方法将在2017年2月—2019年10月期间行颈椎前路减压植骨融合术患者(2~3节段)123例随机分成两组:A组(n=56,半卧位行氧气雾化),B组(n=67,平卧位行氧气雾化)。比较两组术后吞咽困难发生及程度、持续时间情况和患者对氧气雾化吸入方法满意度。结果A组术后吞咽困难发生率低于B组(P=0.042),并且吞咽困难程度动态变化中总体优于B组;两组吞咽困难持续时间无统计学差异(P=0.826)。A组患者对氧气雾化吸入方法满意度优于B组患者(P=0.022)。结论半卧位氧气雾化吸入能降低颈椎前路术后吞咽困难的发生及严重程度。Objective To investigate the effect of aerosol inhalation position on dysphagia after multi-segment anterior cervical decompression and bone graft fusion.Methods 123 patients undergoing anterior cervical decompression and bone graft fusion during February 2017 to October 2019 were randomly divided into two groups:group A(n=56,aerosol inhalation in semireclining position),group B(n=67,aerosol inhalation in the supine position).The incidence,extent and duration of dysphagia were compared between the two groups.Results The incidence of postoperative dysphagia in group A was lower than that in group B(P=0.042),and the degree of dysphagia were better than that in group B in the dynamic changes.There was no statistical difference in the duration of dysphagia between the two groups(P=0.826).Patients in group A had greatly better satisfaction with the aerosol inhalation position than patients in group B(P=0.022).Conclusion Aerosol inhalation in semireclining position can reduce the incidence and severity of dysphagia after anterior cervical spine surgery.

关 键 词：雾化体位 颈椎前路手术 吞咽困难 

分 类 号：R687.3[医药卫生—骨科学]