一枝黄花含漱液在预防全麻术后禁食患者口腔黏膜炎中的应用

Application of Solidago Decurrens Gargle to prevent oral mucositis of postoperative fasting patients after general anesthesia

目的探讨一枝黄花含漱液行口腔护理减少全麻术后禁食患者口腔黏膜炎和口臭的可行性。方法抽取60例全麻术后禁食患者，按随机数字表法分为观察组29例和对照组31例。观察组采用一枝黄花含漱液进行口腔护理；对照组采用0．9％氯化钠溶液进行常规口腔护理。比较两组患者口腔黏膜炎、口臭发生情况。结果口臭发生情况，观察组术后第4天（-）（＋）（＋＋）（＋＋＋）口臭分别发生4，24，1，0例，第7天分别发生18，11，0，0例；对照组第4天分别为2，19，8，2例，第7天分别为7，21，2，1例，差异均有统计学意义（X2分别为8．635，10．910；P〈0．05）。口腔黏膜炎发生情况，观察组术后第4天0，I，Ⅱ，Ⅲ，Ⅳ级口腔黏膜炎分别发生23，5，1，0，0例，第7天分别发生24，4，1，0，0例；对照组第4天分别为16，9，4，1，1例，第7天分别为16，10，4，1，0例，差异均有统计学意义（X2分别为5．052，6．540；P〈0．05）。结论一枝黄花含漱液行口腔护理可明显降低全麻术后禁食患者口腔黏膜炎、口臭的发生。

Objective To explore the effectiveness of Solidago Decurrens gargle to reduce oral mucositis and halitosis of postoperative fasting patients after general anesthesia. Methods Totals of 60 cases of postoperative fasting patients after general anesthesia were randomly divided into two groups. The observation group （n = 29） received Solidago Decurrens gargle to conduct oral nursing, while the control group （n = 31 ） used 0.9% NS. Two groups＇ oral mucositis and halitosis was analyzed and compared. Results There were respectively 4,24,1, 0 cases of （ - ） （ ＋ ） （ ＋ ＋ ） （ ＋ ＋ ＋ ）halitosis on the 4th day after operation, and 18, t 1,0,0 cases on the 7th day after operation in the observation group, while there were 2,19,8,2 cases on the 4th day after operation, and 7,21,2,1 cases on the 7th day after operation in the control group. The differences were statistically significant （X2=8.635, 10. 910, respectively; P 〈0.05）. There were 23,5,1,0,0 cases of I , II , III, IV oral mucositis on the 4th day after operation, and 24,4,1,0,0 eases on the 7th day after operation in the observation group, while there were 16,9,4,1,1 cases on the 4th day after operation, and 16,10,4,1,0 eases on the 7th day after operation in the control group. The differences were statistically significant （ X2 = 5. 052, 6. 540, respectively; P 〈0. 05 ）. Conclusions Solidago Decurrens gargle can effectively reduce the occurrence of oral mucositis and halitosis in postoperative fasting patients after general anesthesia.