摘要
目的 探讨自制冰水含漱液在甲状腺恶性肿瘤术后咽痛护理中的效果。方法 选择2024年8月-2025年3月我院收治的64例甲状腺恶性肿瘤术后患者作为研究对象,按照随机数字表法将患者分为两组,观察组与对照组各32例。两组患者在术后均按照甲状腺护理临床路径进行常规护理。观察组在此基础上术后采取自制冰水含漱液进行含漱,比较两组患者术后6h、12h、48h咽痛的程度、咽痛持续时间、患者术后满意度情况。结果 干预后观察组术后6h咽部疼痛程度与对照组无明显差异(P>0.05),术后12h、48h咽部疼痛程度及咽部疼痛持续时间明显低于对照组,患者住院期间满意度评分高于对照组,数据差异具有统计学意义(P<0.05)。结论 在甲状腺恶性肿瘤术后护理中自制的冰水含漱液能够有效减轻患者的咽痛,减少患者咽痛的持续时间,提高患者住院期间的满意度。
关键词: 冰水含漱液;甲状腺;恶性肿瘤;咽痛
Abstract
Objective To investigate the efficacy of homemade ice water gargle in postoperative pharyngeal pain management for thyroid malignancy patients. Methods A total of 64 postoperative thyroid cancer patients admitted to our hospital between August 2024 and March 2025 were selected as subjects. Patients were randomly divided into two groups (observation group and control group, each with 32 cases) using a random number table method. Both groups received standard clinical care according to the thyroid nursing pathway. The observation group additionally used homemade ice water gargle after surgery. The study compared pharyngeal pain severity, duration, and patient satisfaction at 6 h, 12 h, and 48h postoperatively. Results No significant difference was observed in pharyngeal pain severity between the observation group and control group at 6h postoperative (P>0.05). However, the observation group showed significantly lower pain severity and duration at 12h and 48h postoperative compared to the control group. Additionally, the observation group demonstrated higher satisfaction scores during hospitalization, with statistically significant differences (P<0.05). Conclusion Homemade ice water gargle effectively alleviates pharyngeal pain, reduces pain duration, and improves patient satisfaction during hospitalization for thyroid malignancy patients.
Key words: Ice water gargle; Thyroid; Malignant tumor; Pharyngeal pain
参考文献 References
[1] 周静.局部晚期甲状腺癌喉气管侵犯术后的护理要点[J].实用临床护理学电子杂志,2020,5(5):81;93.
[2] 杨开银,薛建军,梁曦,等.甘草喷雾剂预防全麻气管插管应激反应及术后并发症临床观察[J].西部中医药,2021, 34(9): 103-107.
[3] 徐晓霞,郭浩洋,曾显溪.冰生理盐水含漱在护理鼻咽癌患者放疗所致口腔疼痛中的应用[J].齐鲁护理杂志,2021, 27(20): 26-28.
[4] 吕萍,宋伟.鼻内镜下低温等离子射频消融术治疗儿童会厌囊肿的疗效观察[J].中国实用医药,2019,14(34):105-106.
[5] 许宏,谢锦伟,雷一霆等.地塞米松及氨甲环酸在全髋全膝关节置换术中抗炎作用的研究进展[J].中国骨与关节杂志,2020,9(6):439-444.
[6] 牛彩丽,卢咏梅,曾秀云,等.天突穴贴敷红外线贴对缓解气管插管全麻术后咽痛症状的临床观察[J].广州中医药大学学报,2019,36(9).
[7] 朱秀琴,黄春晖,曾建红.麻醉前及苏醒后雾化吸入对气管插管全身麻醉患者术后咽痛的影响[J].医疗装备,2019, 32(19).
[8] 顾婧,刘燕,何雨沁,等.甲状腺术后咽痛持续时间与饮水量的相关性分析[J].中国肿瘤临床与康复,2020,27(12).
[9] 刘庆义,张梅奎,李敏,等.清泽喷雾剂抗炎、止痒、抗变态作用研究[J].长春中医药大学学报,2020,36(1):71-75.
[10] 李秀燕,方桂珍,杨丹华,等.五凉含漱液在胃镜黏膜下剥离术后患者中的应用[J].中国现代医生,2019,57(15).
[11] 朱海蓉,朱晓军.帝视内窥镜与易安视频喉镜全麻插管对胃肠道肿瘤术后疼痛及炎症应激反应的影响[J].实用癌症杂志,2018,33(10);1617-1619.