肿瘤预防与治疗2024，Vol.37Issue(12)：1061-1067,7.DOI:10.3969/j.issn.1674-0904.2024.12.007
不同器具在甲状腺癌患者术后早期饮水管理中的对比研究
Comparison of Different Utensils in the Early Postoperative Management of Water Drinking in Thyroid Cancer Patients
摘要
Abstract
Objective:The aim of this study is comparing the safety,comfort of and compliance in different water drink-ing tools for patients with thyroid cancer 6 hours after general anesthesia surgery,so as to provide evidence for the effective implementation of clinical rapid recovery measures.Methods:A total of 240 patients who underwent thyroid cancer surgery in the Department of Thyroid-Oral and Maxillofacial Surgery in Sichuan Cancer Hospital from February 1,2023 to April 30,2023 were selected by convenience sampling and divided into three groups according to time sequence,with 80 patients in each group.All patients in the 3 groups undertook a food and water fast according to the surgical criteria for rapid rehabilita-tion.Patients and their families were given health education on the importance of perioperative water fast and water drinking.Doctors and nurses jointly evaluated the feasibility of water drinking according to Safety Protocol for Thirst Management(SPTM).Group A was fed with a spoon,group B was injected with water with a 5 mL syringe,and water was sprayed with a sprayer in group C.Statistical methods were used to analyze patient compliance and the occurrence of postoperative thirst discomfort,oral mucosal wetness,pharyngeal pain and complications in 3 groups.Results:In terms of safety,there was no aspiration and no significant difference in nausea and vomiting among the three groups(P＞0.05),but choking cough in group C was significantly milder than that in group A and group B.In terms of comfort,there were no statistically significant differences in thirst discomfort scores before drinking water and 6 h after awakening from general anesthesia among the three groups(P＞0.05).The wetness of oral mucosa before drinking water was statistically significant among 3 groups(P＜0.05),but that 6 hours after awakening from general anesthesia was not statistically significant among 3 groups(P＞0.05).There were no significant differences in the score of sore throat and compliance in water drinking among the three groups be-fore drinking water(P＞0.05).At 6 hours after awakening from general anesthesia,there was no significant difference in the score of sore throat between group C and group A,but the score of sore throat in group C was significantly lower than that in group B;the compliance in water drinking was significantly better in group C than in group A and group B(P＜0.05).Conclusion:Drinking water with three kinds of instruments can significantly improve the symptoms of thirst in patients with thyroid cancer surgery 6 hours after awakening from general anesthesia,but the use of sprayer is better than the use of spoon and syringe in terms of safety,comfort and patient compliance.关键词
快速康复/饮水/甲状腺癌/术后早期/喷雾Key words
Fast recovery/Drinking water/Thyroid cancer/Early postoperative period分类
医药卫生引用本文复制引用
蒋曼,张帆,邵小倩,封莉平,宋俊韬,何婷婷,杨琳,董霜,曾定芬..不同器具在甲状腺癌患者术后早期饮水管理中的对比研究[J].肿瘤预防与治疗,2024,37(12):1061-1067,7.基金项目
This study was supported by grants from Science and Technology Department of Sichuan Province(No.2023JDKP0053). 2023年四川省科技厅基金项目(编号:2023JDKP0053) （No.2023JDKP0053）
