护理干预联合中药喷剂对内镜治疗术后患者咽喉疼痛的疗效

Efficacy of nursing intervention combined with traditional Chinese medicine spray for the patients with sore throat after endoscopic treatment

目的探讨护理干预联合我院国家级名老中医专家刘沈林教授经验方制作的中药喷剂对内镜治疗术后患者咽喉疼痛的疗效。方法选取2018年6~11月入住江苏省中医院消化内镜病房行内镜下治疗术后经鼻留置管道的80例患者,随机分为观察组和对照组,每组40例,两组均给予常规基础护理。同时,观察组自口咽部外喷中药喷剂,对照组同法喷入康复新液。比较两组患者的咽部VAS评分、非计划拔管率、经济指标、用药反应和总疗效。结果自术后30 h开始,观察组咽部VAS评分为(3.05±0.78)分,对照组为(3.52±1.08)分,差异有统计学意义(P<0.05)。观察组药物成本为9.37元,对照组为31.35元,对照组的药物成本是观察组的3倍之多。观察组使用后有4例出现消化道反应,对照组有15例出现消化道反应,差异有统计学意义(P<0.05)。两组在非计划拔管率、皮肤及附件反应和术后住院天数方面比较,差异无统计学意义(P>0.05)。总疗效相比,观察组为94.6%,对照组为75.0%,差异有统计学意义(P<0.05)。结论护理干预联合中药喷剂较康复新液可明显减轻内镜术后经鼻留置管道患者咽喉疼痛不适感,且价格低廉,无用药不良反应,值得临床广泛推广。

Objective To investigate the efficacy and safety of nursing intervention combined with traditional Chinese medicine spray prepared by Professor Liu Shenlin, a national famous Chinese medicine expert in our hospital, for the patients with sore throat after endoscopic treatment. Methods A total of 80 patients who were given nasal indwelling catheters after endoscopic treatment in the Digestive Endoscopy Ward of Jiangsu Province Hospital of Chinese Medicine from June to November 2018 were selected and randomly divided into observation group and control group, with 40 cases in each group. Both groups were given basic nursing intervention, meanwhile, the observation group was given the traditional Chinese medicine spray from the oropharynx. The control group was given Kangfuxin solution with the same method. The pharyngeal VAS score, unplanned extubation rate, economic indicators, medication responses, and total efficacy were compared between the two groups. Results From 30 h after surgery, the pharyngeal VAS score in the observation group was (3.05±0.78), and that in the control group was (3.52±1.08). The difference was statistically significant(P<0.05). The drug cost in the observation group was 9.37 yuan, and that in the control group was 31.35 yuan. The drug cost in the control group was three times as high as that in the observation group. There were 4 cases of digestive tract reaction in the observation group and 15 cases in the control group. The difference was statistically significant(P<0.05). There was no statistically significant difference in the unplanned extubation rate, skin and accessory response, and postoperative length of hospital stay between the two groups(P>0.05). In the comparison of total efficacy, the observation group was 94.6%, and the control group was 75.0%. The difference was statistically significant(P<0.05). Conclusion Compared with Kangfuxin solution, nursing intervention combined with traditional Chinese medicine spray can significantly reduce the discomfort of throat pain in the patients receiving nasal indwelling catheter after endoscopic surgery. The price is low, and there is no adverse drug reaction. It is worthy of widespread clinical promotion.