含漱气泡法治疗咽喉部鱼刺嵌顿  

Gargle-bubble method for the treatment of pharyngeal fishbone impaction

作　　者：王新月 王兴蕾[1] 陆美琪 赵洁[1] 王晓川[2] 焦亚[1] 姜笃银[1,2] 许安廷[3] WANG Xinyue;WANG Xinglei;LU Meiqi;ZHAO Jie;WANG Xiaochuan;JIAO Ya;JIANG Duyin;XU Anting(Department of Emergency Center,The Second Hospital,Cheeloo College of Medicine,Shandong University,Jinan 250033,Shandong,China;Department of Plastic and Burn Surgery,The Second Hospital,Cheeloo College of Medicine,Shandong University,Jinan 250033,Shandong,China;Department of Otorhinolaryngology&Head and V1Neck Surgery,The Second Hospital,Cheeloo College of Medicine,Shandong University,Jinan 250033,Shandong,China)

机构地区：[1]山东大学第二医院急诊医学中心,山东济南250033 [2]山东大学第二医院整形烧伤外科,山东济南250033 [3]山东大学第二医院耳鼻喉头颈外科,山东济南250033

出　　处：《山东大学学报（医学版）》2024年第6期71-75,共5页Journal of Shandong University:Health Sciences

基　　金：国家自然科学基金资助项目(81873934);王正国创伤医学发展基金会(SZYZ-TR-09);山东省科技攻关项目(2019GGX10501);山东大学临床研究项目(2021SDUCRCA008);济南市科技计划项目(202225065)。

摘　　要：目的探讨含漱气泡法(gargle-bubble method,GBM)治疗咽喉部鱼刺嵌顿的临床应用可行性。方法回顾性分析2019年1月至2022年12月主诉为咽喉部鱼刺嵌顿的患者531例资料,A组患者误食鱼刺后曾自行采用吞服食醋、馒头等方式处理(n=263);B组患者误食鱼刺后未采取直接采取GBM处置(n=268)。比较两组间有效率。结果A组吞服食醋、馒头处理鱼刺有效率为15.2%(n=40),84.8%(n=223)患者处理失败,接受进一步医疗处置;B组GBM处理鱼刺有效率为98.1%(n=263),0.8%(n=2)患者拒绝实施GBM,1.1%(n=3)患者处理失败。结论GBM能有效排出咽喉部鱼刺,操作简单,是咽喉部鱼刺嵌顿的有效急救方案。Objective To explore the feasibility of using the gargle-bubble method(GBM)to treat laryngopharyngeal fishbone impaction.Methods A total of 531 patients with laryngopharyngeal fishbone impaction from January 2019 to December 2022 were retrospectively analysed.Patients in group A(n=263)swallowed vinegar or steamed buns by themselves,and patients in group B were treated directly with GBM(n=268).The effective rates of the two groups were compared.Results In group A,the effective rate of swallowing vinegar or steamed buns was 15.2%(n=40),and 84.8%(n=223)of patients failed and received further medical treatment.In group B,the effective rate of GBM was 98.1%(n=263),0.8%(n=2)of patients refused to undergo GBM and 1.1%(n=3)of patients failed to treatment.Conclusion GBM can be considered as a simple and effective self-treatment for laryngopharyngeal fish bone impaction,which is worthy of popularisation and application.

关 键 词：鱼刺 咽喉部 异物 含漱气泡法 

分 类 号：R767.8[医药卫生—耳鼻咽喉科]