布地奈德雾化吸入对于甲状腺切除术后患者咽喉部不适的影响

Effects of Budesonide Inhalation on Throat Discomfort in Patients after Thyroidectomy

目的研究布地奈德雾化吸入对于甲状腺切除术后患者咽喉部不适症状的影响。方法选择2018年2月~2019年7月天津市河东区第三中心医院收治的经气管插管全身麻醉的甲状腺切除术患者96例作为研究对象,采用随机数表法分为对照组与观察组,各48例。对照组采用生理盐水雾化吸入治疗,观察组采用布地奈德混悬液联合生理盐水雾化吸入治疗,比较治疗前后两组的临床疗效、呼吸道症状、伯格曼舒适度评分(BCS)及视觉模拟评分(VAS)。结果观察组治疗总有效率为95.83%,高于对照组的62.50%,差异有统计学意义(P<0.05);观察组呼吸道症状总发生率为20.83%,低于对照组的58.33%,差异有统计学意义(P<0.05);治疗前,两组BCS评分及VAS评分比较,差异无统计学意义(P>0.05);治疗后,观察组的BCS评分为(2.98±0.58)分,高于对照组的(1.97±0.65)分,观察组VAS评分为(2.23±0.78)分,低于对照组的(3.98±1.67)分,且治疗后两组BCS评分均高于治疗前,VAS评分均低于治疗前,差异有统计学意义(P<0.05)。结论布地奈德雾化吸入治疗能有效改善甲状腺切除术后咽喉疼痛等不适症状,加快术后恢复进程,该方法治疗效果确切,值得应用。

Objective To study the effects of budesonide nebulization on throat discomfort after thyroidectomy.Methods From February 2018 to July 2019,96 patients undergoing general anesthesia through endotracheal intubation were selected from the Third Central Hospital of Hedong District of Tianjin.The patients were randomly divided into control group(n=48)and observation group(n=48).The control group was treated with saline aerosol inhalation,and the observation group was treated with budesonide suspension combined with saline aerosol inhalation.The clinical efficacy,respiratory symptoms,Bergman comfort score(BCS),and visual analogue score(VAS)of the two groups were compared before and after treatment.Results The total effective rate of treatment in the observation group was 95.83%,which was higher than 62.50%in the control group,the difference was statistically significant(P<0.05).The total incidence of respiratory symptoms in the observation group was 20.83%,which was lower than the control group's 58.33%,the difference was statistically significant(P<0.05);before treatment,there was no significant difference in the BCS score and VAS score between the two groups(P>0.05);after treatment,the BCS score of the observation group was(2.98±0.58)points,(1.97±0.65)points higher than the control group,VAS score of the observation group was(2.23±0.78)points,lower than the control group(3.98±1.67)points,and the BCS scores of the two groups after treatment were higher than those before the treatment,VAS scores were lower than before treatment,the difference was statistically significant(P<0.05).Conclusion The budesonide aerosol inhalation treatment can effectively improve the discomfort symptoms such as throat pain after thyroidectomy and speed up the recovery process.