咀嚼口香糖联合早期雾化吸入对减轻甲状腺癌患者术后咽喉痛(POST)的效果分析

目的探讨咀嚼口香糖联合早期雾化吸入对减轻甲状腺癌患者术后咽喉疼痛的效果。方法采用简单随机抽样的方法,随机抽取2018年12月至2019年6月138例为对照组,142例为观察组。采用疼痛数字评分法(NRS)记录患者的咽喉部疼痛评分。两组均在术后返回病房后半小时行生理盐水5m L^+灭菌注射用水5 mL氧气雾化吸入15至20 min,每6h给予一次同样的方法雾化15至20 min,观察组在每次雾化后咀嚼口香糖10 min。用数字疼痛评分法(NRS)记录术后回病房时(T0),返回病房后2 h(T2)、6 h(T6)、24 h(T24)吞咽和不吞咽时的咽喉疼痛评分。结果两组患者吞咽时疼痛评分,分别在返回病房后T2、T6和T24这3个时间截点,差异均有统计学意义(均P<0.001);不吞咽时分别在T2和T6疼痛评分,差异均有统计学意义(均P<0.001)。结论咀嚼口香糖法联合早期雾化吸入能有效缓解甲状腺癌患者术后咽喉痛(POST),可增加患者术后咽喉部的舒适度,在一定程度上促进患者快速康复。

objective To investigate the effect of chewing gum combined with early atomization inhalation on relieving postoperative throat pain in patients with thyroid cancer.Methods Using simple random sampling method,138 patients from December 2018 to June 2019 were randomly selected as the control group and 142 patients as the observation group.Both groups were given normal saline 5 m L+sterile injection water 5 m L oxygen atomization inhalation for 15~20 min after returning to the ward half an hour after operation,and the same method was given every 6 hours for 15-20 minutes.The observation group chewed gum for 10 minutes after each atomization.NRS was used to record the pharyngeal pain scores at the time of returning to the ward(T0),2 h(T2),6 h(T6),24 h(T24)after returning to the ward.Results There were statistically significant differences between the two groups at T2,T6 and T24 after returning to the ward(P<0.001);there were statistically significant differences between the two groups at T2 and T6 when not swallowing(P<0.001).Conclusion chewing gum combined with early atomization inhalation can effectively relieve the postoperative sore throat(post)of patients with thyroid cancer,increase the comfort of patients with postoperative sore throat,and promote the rapid recovery of patients to a certain extent.