柠檬精油预防腹部气管插管全麻术后呼吸道感染的临床效果  

Clinical effect of Lemon Essential Oil in preventing respiratory tract infection after abdominal tracheal intubation under general anesthesia

作　　者：张玲 朱金香 王淼 傅蓉 贾慧 ZHANG Ling;ZHU Jinxiang;WANG Miao;FU Rong;JIA Hui(Department of Gynecology,the First People′s Hospital of Changde City,Hu′nan Province,Changde415003,Cahina)

机构地区：[1]湖南省常德市人民医院妇科,湖南常德415003

出　　处：《中国当代医药》2022年第3期56-62,共7页China Modern Medicine

基　　金：湖南省常德市科技局科研项目(2019ZD61)。

摘　　要：目的探讨柠檬精油对腹部气管插管全身麻醉术后呼吸道感染预防的临床效果。方法选取2020年4月至12月在常德市第一人民医院择期插管全身麻醉下行腹部妇科手术的408例术后患者作为研究对象,采用随机数字表法将其分为川贝枇杷膏组(136例)、柠檬精油含服组(137例)、柠檬精油喷雾组(135例)。川贝枇杷膏组给予蜜炼川贝枇杷膏含服,柠檬精油含服组给予柠檬精油稀释后含服,柠檬精油喷雾组给予柠檬精油稀释后喷雾。比较三组患者气管插管全身麻醉术后呼吸道感染的预防效果、呼吸道症状缓解情况、呼吸道分泌物病原菌种类及菌落计数。结果柠檬精油含服组和柠檬精油喷雾组的气管插管全身麻醉术后呼吸道感染的预防总有效率高于川贝枇杷膏组,差异有统计学意义(P<0.017);柠檬精油含服组预防第2、3、4天的咽喉不适症状缓解优于川贝枇杷膏组,预防第3、4天的咳嗽咳痰、咳嗽困难症状缓解优于川贝枇杷膏组,差异有统计学意义(P<0.017);柠檬精油喷雾组预防第3、4天时的咽喉不适症状缓解优于川贝枇杷膏组,预防第4天时的咳嗽咳痰、咳嗽困难症状缓解优于川贝枇杷膏组,差异有统计学意义(P<0.017);柠檬精油含服组和柠檬精油喷雾组预防后的呼吸道分泌物病原菌菌落计数少于川贝枇杷膏组,差异有统计学意义(P<0.05);柠檬精油含服组的气管插管全身麻醉术后呼吸道感染预防效果、呼吸道症状缓解、呼吸道分泌物病原菌种类及菌落计数与柠檬精油喷雾组比较,差异无统计学意义(P>0.05)。结论柠檬精油含服与喷雾均能有效预防气管插管全身麻醉术后呼吸道感染,显著改善呼吸道感染症状。Objective To explore the clinical effect of Lemon Essential Oil on the prevention of respiratory tract infections after abdominal tracheal intubation under general anesthesia.Methods A total of 408 patients undergoing abdominal gynecological surgery under elective intubation under general anesthesia in the First People′s Hospital of Changde City from April 2020 to December 2020 were selected as the research objects,they were divided into the Milian Pei Pa Koa group(136 cases),Lemon Essential Oil sublingual group(137 cases),Lemon Essential Oil spray group(135 cases)by using a random number table methods.The Milian Pei Pa Koa group was given Milian Pei Pa Koa containing,and the Lemon Essential Oil sublingual group was given the diluted Lemon Essential Oil containing,and the Lemon Essential Oil spray group was given the diluted Lemon Essential Oil spraying.The protective effect of respiratory tract infections after abdominal tracheal intubation under general anesthesia,relief of respiratory symptoms,pathogenic bacteria types and colony counts of respiratory secretions among the three groups of patients were compared.Results The protective effect of respiratory tract infections after abdominal tracheal intubation under general anesthesia of the Lemon Essential Oil sublingual group and the Lemon Essential Oil spray group were higher than those of the Milian Pei Pa Koa group,and the differences were statistically significant(P<0.017).The relief of symptoms of throat discomfort on the 2nd,the 3rd and the 4th day of preventive treatment in the Lemon Essential Oil sublingual group were better than those in the the Milian Pei Pa Koa group,the relief of symptoms of cough and sputum,cough difficulty on the 3rd and the 4th day of preventive treatment in the Lemon Essential Oil sublingual group were better than those in the Milian Pei Pa Koa group,with statistical significance(P<0.017).The relief of symptoms of throat discomfort on the 3rd and the 4th day of preventive treatment in the Lemon Essential Oil spray group were be

关 键 词：柠檬精油 全身麻醉术后 呼吸道感染 预防 效果 

分 类 号：R614.2[医药卫生—麻醉学]