白及二花冰块在腭裂术后口腔护理中的应用

Application of BaiJi and JinYinHua Ice Cubes to Mouth Care of the Patients after the Operation of Cleft Palate

目的：观察白及二花冰块结合传统护理方法在腭裂术后口腔护理中的应用效果。方法：将腭裂患者164例随机分为试验组和对照组各82例，对照组在腭裂术后采用传统口腔护理方法（0.9%盐水棉球擦洗、3%双氧水漱口，3次/d）进行护理；试验组在对照组基础上采用与自制白及二花冰块（5～6次/d，1粒/次）口含交替使用的方法进行护理，5～7天后观察2组患者术后伤口疼痛程度、肿胀消失时间、渗血消失时间、伤口愈合时间以及伤口感染率、复裂或腭瘘发生率情况。结果：术后伤口疼痛程度试验组明显轻于对照组（χ2=26.8304， P＜0.001）；肿胀消失时间试验组为（2.8＆#177;0.6）d明显短于对照组（3.1＆#177;0.5）d（t=3.4883，P＜0.01）；渗血消失时间试验组为（30.7＆#177;9.4）h明显短于对照组（35.1＆#177;10.3）h（t=2.8571，P＜0.01）；伤口愈合时间试验组（11.8＆#177;2.9）d明显短于对照组（13.5＆#177;3.2）d（t=3.617，P＜0.01）；试验组伤口感染率为2.44%（2/82），明显低于对照组的12.19%（10/82）（χ2=4.4057，P＜0.05）；复裂或腭瘘发生率试验组为7.32%（6/82），与对照组的9.76%（8/82）比较χ2=0.3132，P＞0.05。结论：口含白及二花冰块在减轻腭裂术后并发症，促使伤口愈合方面明显优于传统口腔护理方法。

Objective： To observe the effects ofBaiJi（Bletillastriata） andJinYinHua（lonicera japonica） ice cubes combined with traditional nursing method applied to mouth care of the patients after cleft palate. Methods： All 164 patients were randomly divided to the trial group and the control group. The control group were nursed by the method of traditional mouth care（wiped with 0.9% saline cotton ball, gargled with 3% aquae hydrogenii dioxide, three times per day） after they received the surgery of cleft palate, the trial group were cared with self-madeBaiJiand JinYinHuaice cubes in the mouth （one pill each time, five to six times per day）. The incidence of rima or palatal fistula, infection rate of the wound, wound healing time, disappearing time of capillary hemorrhage, disappearing time of swelling and pain degrees of postoperative wound in both groups were observed in five to seven days. Results： Pain degrees of postoperative wound in the trial group were lighter than these of the control group significantly （χ2=26.8304,P＆lt;0.001）; disappearing time of swelling of the trial group was （2.8＆#177;0.6）d, obviously shorter than （3.1＆#177;0.5）d of the control group （t=3.4883,P＆lt;0.01）; disappearing time of capillary hemorrhage of the trial group was （30.7＆#177;9.4）h, notably less than （35.1＆#177;10.3）h of the control group （t=2.8571,P＆lt;0.01）; wound healing time of the trial group was （11.8＆#177;2.9）d, significantly shorter than （13.5＆#177;3.2） of the control group （t=3.617,P＆lt;0.01）; wound infection rate of the trial group was 2.44% （2/82）, remarkably lower than 12.19% （10/82） of the control group （χ2=4.4057,P＆lt;0.05）; the incidence of rima or palatal fistula was 7.32%（6/82）, lower than 9.76% （8/82） of the con-trol group, the comparison showed（χ2=0.3132,P＆gt;0.05）. Conclusion： BuccalBaiJiandJinYinHuaice cubes could alleviate the complications after the surgery of cleft palate and promote wound healing, it is superior to traditional mouth care method.