金栀洁龈含漱液对低温等离子扁桃体切除术患儿咽部舒适度及用药依从性的影响  

Effect of Jinzhi Jieyin gargle on wound comfort and medication compliance in children with low temperature plasma tonsillectomy

作　　者：冷芸坤[1] 罗庆[1] LENG Yunkun;LUO Qing(Department of Otorhinolaryngology Head and Neck Surgery,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院耳鼻咽喉头颈外科,江西南昌330006

出　　处：《中国中西医结合儿科学》2024年第2期166-170,共5页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：2022年江西省中医药管理局科技计划课题(2022B582);2022年国家地区自然科学基金项目(82260217)。

摘　　要：目的观察金栀洁龈含漱液对儿童低温等离子扁桃体切除术后扁桃体窝创面的影响。方法选取2022年11月至2023年8月在南昌大学第一附属医院耳鼻咽喉头颈外科行扁桃体切除术患儿80例,按不平衡指数最小的分配原则分为观察组和对照组,每组40例。观察组使用金栀洁龈含漱液,对照组使用生理盐水含漱。比较两组在咽部舒适度、疼痛、发热、创面评分、口腔异味、用药依从性等方面有无差异。结果观察组咽部舒适度评分为(1.90±0.71)分,高于对照组(1.03±0.16)分;观察组用药依从性为97.5%(39/40),优于对照组67.5%(27/40);观察组口腔异味发生率为7.5%(3/40),低于对照组42.5%(17/40),差异均有统计学意义(P<0.05)。两组术后3 d疼痛评分、创面评分、发热比例比较差异均无统计学意义(P>0.05)。两组均无含漱用药不良反应发生。结论金栀洁龈含漱液用于低温等离子扁体切除术创面含漱,可提升创面舒适度及用药依从性,适合儿童使用。Objective To observe the effect of Jinzhi Jieyin gargle on the wound surface of tonsil in children after low-temperature plasma tonsillectomy.Methods Eighty children with tonsillectomy,who received tonsillectomy in the Department of Otorhinolaryngology Head and Neck Surgery,the First Affiliated Hospital of Nanchang University from Nov.2022 to Aug.2023,were divided into an experimental group and a control group based on the principle of minimum imbalance index,with 40 cases in each group.The experimental group was rinsed with Jinzhi Jieyin gargle,and the control group was rinsed with normal saline.The pharyngeal comfort,pain,fever,wound score,oral odor,and medication compliance of the two groups were compared.Results The study showed that the pharyngeal comfort(1.90±0.71)points and medication compliance(97.5%)of the experimental group were better than that those of control group[(1.03±0.16)points and 67.5%].The incidence of oral odor in the experimental group(7.5%)was lower than that in the control group(42.5%),and the difference was statistically significant(P<0.05).There were no statistically significant differences in pain scores,fever proportion,or wound scores between the two groups(P>0.05).There were no adverse reactions to gargling medication in both groups.Conclusion The use of Jinzhi Jieyin gargle for low-temperature plasma tonsillectomy can improve wound comfort and medication compliance,and is suitable for use in children.

关 键 词：扁桃体切除术 低温等离子消融术 手术创面 金栀洁龈含漱液 中医药 

分 类 号：R725.6[医药卫生—儿科]