开喉剑喷雾剂对支撑喉镜下喉部术后患者咽痛治疗的效果研究  

Study on effect of laryngeal sword spray on treatment of sore throat in patients after laryngeal surgery under laryngoscopy

作　　者：程慧娟[1] 王卫卫[2] 张子梓 徐强[1] CHENG Hui-juan;WANG Wei-wei;ZHANG Zi-zi;XU Qiang(Department of Laryngeology,Head and Neck Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Otolaryngology-Head and Neck Surgery,Henan Provincial People's Hospital,Zhengzhou 450003,China)

机构地区：[1]郑州大学第一附属医院咽喉头颈外科,郑州450052 [2]河南省人民医院耳鼻咽喉头颈外科,郑州450003

出　　处：《医药论坛杂志》2024年第13期1426-1429,共4页Journal of Medical Forum

摘　　要：目的观察开喉剑喷雾剂对支撑喉镜下行喉部病变手术患者术后咽部疼痛治疗的效果。方法选取2022年6月至2023年5月前来郑州大学第一附属医院诊治的90例行支撑喉手术的患者,分为观察组及对照组各45例。两组患者术后常规雾化治疗,观察组增加开喉剑喷雾剂的应用。统计分析两组患者治疗后的咽痛程度、咽痛时间、伴随症状如咽干、咽痒、咽异物感等和心理状况。结果术后观察组疼痛评分低于对照组(P<0.05),观察组疼痛持续时间更短(P<0.05),咽部伴随症状发生率低于对照组(P<0.05),SAS、SDS评分均低于对照组(P<0.05)。结论开喉剑喷雾剂能够有效的减轻行支撑喉镜手术患者术后咽部疼痛程度及疼痛持续时间,并能够预防咽部伴随症状和改善患者心理状况。Objective To observe the effect of laryngeal sword spray on the treatment of postoperative pharyngeal pain in patients undergoing laryngeal lesion surgery with laryngoscopy.Methods A total of 90 patients who underwent laryngeal support surgery from June 2022 to May 2023 were divided into observation group and control group,with 45 cases in each group.The two groups were treated with conventional nebulization after surgery,and the observation group increased the application of laryngeal sword spray.The severity of sore throat,sore throat duration,accompanying symptoms such as dry throat,itchy throat,foreign body sensation and psychological status of the two groups were statistically analyzed.Results The pain score of the postoperative observation group was lower than that of the control group(P<0.05),the duration of pain in the observation group was shorter(P<0.05),the incidence of pharyngeal accompanying symptoms was lower than that of the control group(P<0.05),and the scores of SAS and SDS were lower than those of the control group(P<0.05).Conclusion Laryngeal sword spray can effectively reduce the degree and duration of postoperative pharyngeal pain in patients undergoing laryngoscopy,prevent pharyngeal accompanying symptoms and improve patients'psychological status.

关 键 词：开喉剑喷雾剂 支撑喉镜手术 咽部疼痛 声带良性病变 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]