雷火灸治疗气管插管全麻术后咽喉痛的效果

Effect of thunder-fire moxibustion in treating sore throat after tracheal intubation under general anesthesia

目的探讨雷火灸治疗气管插管全麻术后咽喉痛的临床效果。方法选取2019年7月至2021年5月于广西科技大学第一附属医院妇科行腹腔镜气管插管全麻术后咽喉痛患者180例,按随机数字表法将其分为两组,每组90例。观察组采用雷火灸疗法,对照组采用盐酸氨溴索雾化吸入治疗。比较两组患者术后12、24、48、72 h的伯格曼舒适度量表(BCS)评分及术后72 h咽部异物感治疗效果、患者满意度。结果整体分析发现:BCS评分组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05)。组内比较:两组术后24、48、72 h的BCS评分均高于术后12 h(P<0.05);两组术后48、72 h的BCS评分均高于术后24 h(P<0.05),两组术后72 h的BCS评分高于术后48 h(P<0.05)。组间比较:观察组术后24、48、72 h的BCS评分均高于对照组(P<0.05)。观察组术后72 h咽部异物感治疗效果优于对照组,差异有统计学意义(P<0.05)。观察组术后72 h满意度优于对照组,差异有统计学意义(P<0.05)。结论雷火灸治疗可有效减轻气管插管全麻术后咽喉痛的症状,并能消除咽部异物感,提高患者的治疗满意度。

Objective To investigate clinical effect of thunder-fire moxibustion in treating sore throat after tracheal intubation under general anesthesia.Methods One hundred and eighty patients with sore throat after laparoscopic tracheal intubation under general anesthesia at Department of Gynecology in the First Affiliated Hospital of Guangxi University of Science and Technology from July 2019 to May 2021 were selected and divided into two groups according to random number table method,with 90 cases in each group.Thunder-fire moxibustion was used in observation group,Ambroxol Hydrochloride atomization inhalation was applied in control group.The scores of Bergman comfort scale(BCS)at 12,24,48 h,and 72 h after operation,the effect of pharyngeal foreign body sensation and patient satisfaction at 72 h after operation were compared between two groups.Results The overall analysis showed that there were significant differences in BCS score between groups,time points and interaction(P<0.05).Intra group comparison:BCS scores of two groups at 24,48,and 72 h after operation were higher than those at 12 h after operation(P<0.05),BCS scores of two groups at 48,and 72 h after operation were higher than those at 24 h after operation(P<0.05),BCS scores of two groups at 72 h after operation were higher than those at 48 h after operation(P<0.05).Comparison between groups:BCS scores of observation group at 24,48,and 72 h after operation were higher than those of control group(P<0.05).The effect of pharyngeal foreign body sensation in observation group was better than that in control group 72 h after operation,and the difference was statistically significant(P<0.05).The satisfaction of observation group 72 h after operation was better than that of control group,the difference was statistically significant(P<0.05).Conclusion Thunder-fire moxibustion can effectively reduce the symptom of sore throat after tracheal intubation under general anesthesia,eliminate the feeling of foreign body in pharynx,and improve the treatment satisfaction of patient.