中国耳鼻咽喉头颈外科2017，Vol.24Issue(12)：647-650,4.DOI:10.16066/j.1672-7002.2017.12.012
多方式综合治疗减轻悬雍垂腭咽成形术后咽腔不适的临床研究
Multimode and comprehensive treatment for relieving discomfort after uvulopalatopharyngoplasty
赵晨 1王洪明 1马沂 1杨怀安 1姜学钧1
作者信息
- 1. 中国医科大学附属第一医院耳鼻咽喉科,辽宁沈阳 110001
- 折叠
摘要
Abstract
OBJECTIVE To observe the effect of multimode comprehensive treatments on relieving discomfort during postoperative 7 days in patients after uvulopalatopharyngoplasty (UPPP).METHODS A total of 60 patients who underwent UPPP were randomly divided into experimental group and control group.Multimode comprehensive therapy was applied in experimental group(n=30) during postoperative consecutive 7 days,which included gastrogavage,whole pharynx cavity cleaning care with aspirator,intravenous flubiprofen axetil injection 100 mg two times a day,nebulization of budesonide suspension liquid 2 mg two times a day.The treatment methods in control group(n=30) included liquid or soft diets,routine oral cavity care.Visual analogue scale (VAS) was applied to evaluate the discomfort degree including pharyngeal pain,globus and pharyngeal mucus accumulation.The incision healing degree was also recorded.RESULTS VAS scores were highest(6-7.5) in the first two days after UPPP in control group.Compared with control group,the scores of pharyngeal pain,globus and pharyngeal mucus accumulation were lower and the rate of incision complete heal was higher(53.3％) in experimental group(P＜0.05).CONCLUSION The period of most severe pharyngeal discomfort after UPPP is within 48 hours after operation.Multimode comprehensive treatment can relieve pain,improve subjective globus feeling and mucus accumulation,and promote incision healing.关键词
睡眠呼吸暂停,阻塞性/悬雍垂腭咽成形术/综合疗法/疼痛,手术后Key words
Sleep Apnea, Obstructive/uvulopalatopharyngoplasty/Combined Modality Therapy/Pain, Postoperative引用本文复制引用
赵晨,王洪明,马沂,杨怀安,姜学钧..多方式综合治疗减轻悬雍垂腭咽成形术后咽腔不适的临床研究[J].中国耳鼻咽喉头颈外科,2017,24(12):647-650,4.
