冰盐水含服在食管癌术后胃肠减压患者中的应用及其对鼻咽及咽喉部疼痛程度的改善效果观察  

Application of ice saline in gastrointestinal decompression after esophageal cancer operation and observation of improvement effect on pain degree of nasopharynx and throat

作　　者：王瑞[1] 原翔 徐晓萌 刘培 Wang Rui;Yuan Xiang;Xu Xiao-meng;Liu Pei(Department of Oncology,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China)

机构地区：[1]河南科技大学第一附属医院肿瘤内科,河南洛阳471000

出　　处：《四川生理科学杂志》2023年第9期1549-1551,1562,共4页Sichuan Journal of Physiological Sciences

基　　金：河南省社发领域科技攻关项目(2021072)。

摘　　要：目的:探讨冰盐水含服在食管癌术后胃肠减压患者中的应用及其对鼻咽及咽喉部疼痛程度的改善效果。方法:选取2020年7月~2022年7月期间我科收治的89例食管癌术后胃肠减压患者作为研究对象,采用随机数字表法分为对照组(n=44)和观察组(n=45)。对照组采用常规胃肠减压护理,观察组在对照组的基础上增加冰盐水含服。比较两组非计划拔胃管事件发生率、口干症状改善总有效率、鼻咽部舒适度(术后24h、48h、72h鼻咽部舒适度评分)、咽喉部疼痛情况(术后24h、48h、72h视觉模拟疼痛量表评分)。结果:观察组非计划拔胃管事件发生率明显低于对照组(P<0.05);观察组口干症状改善总有效率明显高于对照组(P<0.05);观察组术后24h、48h、72h鼻咽部舒适度评分均明显高于对照组(P<0.05);观察组术后24h、48h、72h咽喉部疼痛评分均明显低于对照组(P<0.05)。结论:冰盐水含服可改善食管癌术后胃肠减压患者非计划拔胃管事件发生率,提高口干缓解有效率,同时还可改善鼻咽舒适度并减轻咽喉疼痛情况。Objective:To investigate the application of ice saline in gastrointestinal decompression after esophageal cancer surgery and its effect on the degree of pain in nasopharynx and throat.Methods:A total of 89 patients with gastrointestinal decompression after esophageal cancer surgery admitted to our department from July 2020 to July 2022 were selected as research objects,and divided into control group(n=44)and observation group(n=45)by random number table method.The control group received routine gastrointestinal decompression nursing,and the observation group was supplemented with ice saline.The incidence of unplanned gastric tube extraction,the total effective rate of dry mouth symptom improvement,nasopharyngeal comfort(score of nasopharyngeal comfort at 24h,48h and 72h after surgery),and throat pain(score of visual analog pain scale at 24h,48h and 72h after surgery)were compared between the two groups.Results:The incidence of unplanned gastric tube extraction in observation group was significantly lower than that in control group(P<0.05).The total effective rate of dry mouth symptom improvement in observation group was significantly higher than that in control group(P<0.05).The nasopharyngeal comfort scores of the observation group were significantly higher than those of the control group at 24h,48h and 72h after surgery(P<0.05).The throat pain scores of the observation group at 24h,48h and 72h were significantly lower than those of the control group(P<0.05).Conclusion:Ice saline administration can improve the incidence of unplanned gastric tube withdrawal in patients with gastrointestinal decompression after esophageal cancer surgery,improve the relief efficiency of dry mouth,and also improve the comfort level of nasopharynx and reduce throat pain.

关 键 词：胃肠减压 鼻咽部舒适度 冰盐水 食管癌 视觉模拟疼痛评分 

分 类 号：R735.1[医药卫生—肿瘤]