10%盐水冰袋应用于扁桃体切除术后止痛止血的效果观察

Study on Effect of Ice Bag to Reduce Postoperative Pain and Prevent Postoperative Hemorrhage in Patients Underwent Tonsillectomy

目的:寻找一种扁桃体切除术后早期止痛止血的有效方法。方法:60例扁桃体切除术后病人随机分为两组,实验组病人(30例)术后采用10%盐水冰袋外敷下颌下区和颈部,对照组(30例)未采用此护理措施进行干预。记录最痛出现时间,最痛持续时间及术后在最痛时间内张口疼痛、吞咽疼痛和耳痛的得分,术后3h停止渗血例数。结果:实验组最痛出现时间晚于对照组(P<0.01),张口疼痛和吞咽疼痛也比对照组轻(P<0.05),术后3h停止渗血例数也比对照组多(P<0.05)。结论:10%盐水冰袋能推迟扁桃体术后最痛高峰出现时间,减轻术后的张口疼痛和吞咽疼痛,减少术后渗血。该法安全无副作用,外敷给药病人易接受,是扁桃体术后止痛止血的一种有效方法。

Objective ：To find a more eftective therapy to relieve postoperative angina immediately after tonsillectomy. Methods： 60 cases were randomly divided into two groups, experimental group （30 cases ）were given 10% saline water ice bag on cervical and submaxillary region, controlling group （30 cases）were not given by nursing method. Then the indexes of the time peak value of pharyngodynia appearing time, the lasting duration of pharyngodynia crest, and the scores of pain in opening mouth ,odynophagia and reflex otalgia, stop capillary hemorrhage cases after 3 hours of operation . Results： The appearing time of peak angina after operation in experimental group was significantly later than that in controlling group （ P 〈 0.01 ） , and all the other scores were less in treating group than those in controlling group （ P 〈 0.05 ） , stop capillary hemorrhage cases were more in treating group than those in controlling group （P 〈0.05 ）. Conclusions： 10% saline water ice bag is effective in relieving angina hemostasis after tonsillectomy with no obvious side effects.