腮腺术后压迫装置加压包扎对腮腺良性肿瘤患者术后咀嚼功能、涎瘘发生率的影响  

Effects of Compression Device for Compression Bandaging After Parotid Gland Surgery on Postoperative Mastication Function and Incidence Rate of Salivary Fistula in Patients with Benign Parotid Tumors

作　　者：郑跃彬 鄢斌成 钟华才 杨羿容 易旺 王茜 Zheng Yuebin;Yan Bincheng;Zhong Huacai(Department of Otorhinolaryngology Head and Neck Surgery,Zigong First People's Hospital,Zigong,Sichuan 643000,China)

机构地区：[1]自贡市第一人民医院耳鼻咽喉头颈外科,四川自贡643000

出　　处：《四川医学》2023年第11期1178-1181,共4页Sichuan Medical Journal

基　　金：四川省医学会伤口疾病(泰格)专项科研课题(编号:2021TG36)。

摘　　要：目的研究腮腺术后压迫装置加压包扎对腮腺良性肿瘤患者术后咀嚼功能、涎瘘发生率的影响。方法将我院2021年3月至2022年2月收治的65例腮腺良性肿瘤术后患者随机分为对照组(n=32)和观察组(n=33),对照组使用常规医用绷带进行术区加压包扎,观察组使用腮腺手术术后包扎压迫装置进行术区加压包扎,比较两组患者术后并发症发生情况、疼痛程度、咀嚼功能及生活质量。结果两组患者术后并发症发生率比较差异无统计学意义(P>0.05);观察组术后1 d、3 d、术后7 d、术后14 d疼痛评分小于对照组(P<0.05),且组间、时间点比较差异有统计学意义(P<0.05);观察组患者术后15 d、术后20 d、术后30 d的咀嚼效率均高于对照组,差异有统计学意义(P<0.05),且组间、时间点比较差异有统计学意义(P<0.05);出院时,观察组“吞咽”“咀嚼”“语言”“唾液”“情绪”等项评分高于对照组,差异有统计学意义(P<0.05)。结论腮腺术后压迫装置加压包扎可减轻腮腺良性肿瘤患者术后患者疼痛、不适感,改善患者咀嚼功能和生活质量,是一种有效的包扎装置。Objective To study the effects of compression device for compression bandaging after parotid gland surgery on postoperative mastication function and the incidence rate of salivary fistula in patients with benign parotid tumors.Methods From March 2021 to February 2022,65 postoperative patients with benign parotid tumors who were treated in our hospital were randomly divided into control group(CG,n=32)and observation group(OG,n=33).CG was treated with conventional medical bandages for compression bandaging of the surgical site,while OG was given bandaging compression device after parotid gland surgery.The occurrence of postoperative complications,pain degree,masticatory function and quality of life were compared.Results There were no significant differences in the incidence rates of postoperative complications(P>0.05).The pain scores in OG at 1 d、3 d,7 d and 14 d after surgery were lower than those in CG(P<0.05),and there was a significant difference between groups and at different time points(P<0.05).The mastication efficiencies at 15 d,20 d and 30 d after surgery were higher in OG than those in CG(P<0.05),with a significant difference between groups and at time points(P<0.05).At discharge,the scores of swallowing,mastication,language,saliva and emotion in OG were higher compared with those in CG(P<0.05).Conclusion Compression device for compression bandaging after parotid gland surgery could relieve the postoperative pain and discomfort,and improve the masticatory function and quality of life of patients with benign parotid tumors.It is an effective bandaging device.

关 键 词：腮腺术后压迫装置 腮腺良性肿瘤 术后 咀嚼 涎瘘 

分 类 号：R739.87[医药卫生—肿瘤]