复方桐叶烧伤油外敷在儿童扁桃体低温等离子切除术后的应用效果观察  

Clinical Application Analysis of Tongye Burn Oil Compound External Application in Children After Tonsillectomy with Low Temperature Plasma

作　　者：陈秀峰 卢娜 张倩 邓禹桥 CHEN Xiufeng;LU Na;ZHANG Qian;DENG Yuqiao(Xinyu Hospital of Traditional Chinese Medicine,Xinyu 338000,China)

机构地区：[1]新余市中医院耳鼻咽喉科,江西新余338000

出　　处：《江西中医药大学学报》2024年第5期58-61,共4页Journal of Jiangxi University of Chinese Medicine

基　　金：新余市科技局科研项目(20213090899);国家中医优势专科建设项目(赣中医药综合字[2023]3号)。

摘　　要：目的:观察复方桐叶烧伤油外敷在儿童扁桃体低温等离子切除术后的临床应用效果。方法:选取符合纳入标准的60例行扁桃体低温等离子全切术患儿,随机分为观察组和对照组,各30例。对照组单用西医常规治疗方案,观察组采用西医常规治疗方案联合复方桐叶烧伤油外敷手术创面。评估和比较2组术后出血、疼痛、发热、咳嗽、伪膜脱落情况等指标。结果:共60例患儿纳入研究。术后前3 d,观察组较对照组术后疼痛更轻,差异有统计学意义(P<0.05);术后第1、3天,观察组口臭症状较对照组更轻,差异有统计学意义(P<0.05);术后第3、7天,观察组咽部异物感、刺激性咳嗽等症状较对照组更轻,差异有统计学意义(P<0.05);术后观察组发热发生率、气道阻塞程度、伪膜脱落情况等均优于对照组,但组间差异无统计学意义(P>0.05)。结论:复方桐叶烧伤油外敷能有效减轻儿童扁桃体低温等离子全切术后早期的部分不适症状,减少并发症。Objective:To observe the clinical effect of external application of Compound Tongye Burn Oil in children after tonsillectomy with low temperature plasma.Methods:The 60 tonsillectomy cases were randomly assigned to two groups.The observation group(30 cases)received conventional western medicine combined with Compound Tongye Burn Oil,while the control group(30 cases)only received conventional western medicine.Postoperative bleeding,pain,fever,cough,and pseudomembrane shedding time were evaluated.Results:A total of 60 cases of children included in the study.The observation group had milder postoperative pain compared to the control group,with a statistically significant difference in the first three days after surgery(P<0.05).Bad breath was milder on the first and third days after surgery,with a statistically significant difference(P<0.05).Symptoms such as pharyngeal foreign body sensation and irritating cough were milder on the third and seventh days after surgery,with a statistically significant difference(P<0.05).The incidence of postoperative fever was low and the degree of airway obstruction was mild The pseudomembrane detachment time was earlier,but there was no significant difference(P>0.05).Conclusion:External application of Compound Tongye Burn Oil can effectively reduce the early symptoms and complications after tonsillectomy in children.

关 键 词：复方桐叶烧伤油 扁桃体切除术 低温等离子消融术 术后并发症 中医外治法 

分 类 号：R276.1[医药卫生—中医五官科学]