自制中药清凉喷雾剂缓解食管癌术后患者口渴的效果观察

Effect of self-made cooling Chinese medicine spray on relieving thirst in postoperative patients with esophageal cancer

目的探讨自制中药清凉喷雾剂缓解食管癌术后患者口渴症状的效果。方法便利抽取2021年1月—2022年12月确诊并行择期手术治疗的食管癌患者212例为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,各106例。对照组采用棉签蘸水湿润口唇,观察组采用盛有自制中药清凉喷雾剂的5 mL透明喷雾瓶喷洒解渴。比较两组患者拔除气管插管后1 h、2 h、4 h、6 h的口渴程度、口渴不适感、口腔黏膜湿润程度及6 h内额外干预次数。结果两组在各时间点的口渴程度、口渴不适感、口腔黏膜评分均随时间呈逐渐降低的趋势(P_(时间)<0.01),且观察组均低于对照组(P_(组间)<0.01),组别与时间存在交互作用(P_(交互)<0.01)。拔管后6 h内观察组每例患者额外干预次数低于对照组,差异有统计学意义(P<0.01)。结论自制中药清凉喷雾剂可有效缓解食管癌术后患者的口渴程度,提升患者舒适度,节省护理时间。

Objective To explore the effect of self-made cooling Chinese medicine spray on relieving thirst in postoperative patients with esophageal cancer.Methods A total of 212 patients undergoing elective surgery for esophageal cancer were selected as the study subjects.According to the principle of comparability of basic characteristics between groups,they were divided into control group and observation group,with 106 patients in each group.In the control group,the cotton swabs moistened with water were used to moisturize the mouth and lips of patients.In the observation group,the 5 mL transparent spray bottle containing self-made cooling Chinese medi-cine solution was used for relieving thirst in the observation group.The degree of thirst,thirst-in-duced discomfort,oral mucosa moistness and the number of additional intervention were com-pared between the two groups 1h,2h,4h and 6h after tracheal intubation removal.Results At each time point,the degree of thirst,thirst-induced discomfort and oral mucosa moistness score in the two groups decreased gradually with time(P<0.01),and it was lower in the observation group than in the control group(P<0.01).There is an interaction between groups and time(P<0.01).The number of additional interventions per patient in the observation group was lower than that in the control group within 6h after extubation,and the difference was statistically significant(P<0.01).Conclusion Self-made cooling Chinese medicine spray can effectively relieve the thirst of postoperative patients with esophageal cancer,improve the comfort and save nursing time.