冰敷在颈椎前路术后护理中的应用

Application of Ice Compress in Postoperative Care after Anterior Cervical Surgery

目的探讨使用颈部冰敷预防或减轻术后喉头水肿、伤口血肿及疼痛的效果。方法将2011年10月至2013年10月行颈椎前路手术后的患者60例按随机数字表法分为研究组和对照组,每组30例。研究组给予常规护理及颈部冰敷,对照组只给予常规护理。观察2组患者术后的喉头水肿、伤口血肿及疼痛程度。结果研究组与对照组比较,给予颈部间断冰敷后可以显著减轻术后伤口疼痛和减少伤口血肿(P<0.001);在术后24h内预防或减轻喉头水肿效果显著(P<0.01),而术后48h时差异无统计学意义(P>0.05)。结论颈椎前路手术后使用颈部冰敷可以预防或减少术后喉头水肿、伤口血肿的发生,减轻伤口疼痛,从而减轻患者的痛苦。

ABSTRACT:Objective To investigate the efficacy of cervical ice compress for preventing or re-ducing postoperative laryngeal edema,wound hematoma and pain.Methods Sixty patients who received anterior cervical surgery between October 2011 and October 2013 were randomly given routine nursing care alone(control group,n = 30)or in combination with cervical ice compress (study group,n=30).Laryngeal edema,wound hematoma and pain degree were observed in both groups.Results Compared with control group,discontinuous cervical ice compress significantly reduced postoperative wound pain and hematoma(P <0.001),and obviously relieved or prevented laryngeal edema within 24 hours after surgery(P <0.01).However,no significant difference in la-ryngeal edema was found between the two groups at 48 hours after surgery(P >0.05).Conclusion Cervical ice compress after anterior cervical surgery can prevent or reduce postoperative laryngeal edema and wound hematoma,reduce wound pain,and alleviate suffering of patients.