含漱气泡法治疗咽喉部鱼刺嵌顿

Gargle-bubble method for the treatment of pharyngeal fishbone impaction

目的探讨含漱气泡法(gargle-bubble method,GBM)治疗咽喉部鱼刺嵌顿的临床应用可行性。方法回顾性分析2019年1月至2022年12月主诉为咽喉部鱼刺嵌顿的患者531例资料,A组患者误食鱼刺后曾自行采用吞服食醋、馒头等方式处理(n=263);B组患者误食鱼刺后未采取直接采取GBM处置(n=268)。比较两组间有效率。结果A组吞服食醋、馒头处理鱼刺有效率为15.2%(n=40),84.8%(n=223)患者处理失败,接受进一步医疗处置;B组GBM处理鱼刺有效率为98.1%(n=263),0.8%(n=2)患者拒绝实施GBM,1.1%(n=3)患者处理失败。结论GBM能有效排出咽喉部鱼刺,操作简单,是咽喉部鱼刺嵌顿的有效急救方案。

Objective To explore the feasibility of using the gargle-bubble method(GBM)to treat laryngopharyngeal fishbone impaction.Methods A total of 531 patients with laryngopharyngeal fishbone impaction from January 2019 to December 2022 were retrospectively analysed.Patients in group A(n=263)swallowed vinegar or steamed buns by themselves,and patients in group B were treated directly with GBM(n=268).The effective rates of the two groups were compared.Results In group A,the effective rate of swallowing vinegar or steamed buns was 15.2%(n=40),and 84.8%(n=223)of patients failed and received further medical treatment.In group B,the effective rate of GBM was 98.1%(n=263),0.8%(n=2)of patients refused to undergo GBM and 1.1%(n=3)of patients failed to treatment.Conclusion GBM can be considered as a simple and effective self-treatment for laryngopharyngeal fish bone impaction,which is worthy of popularisation and application.