CAJ | 학술논문

目的：观察术前气管推移训练联合氧气雾化吸入对减轻颈椎前路手术患者术后咽部不适的疗效。方法2009年7月至2012年3月选择颈椎前路手术患者70例，试验组34例，对照组36例。两组均按常规治疗、护理，试验组行气管推移训练，在术前3 d给予氧气雾化吸入，对照组仅行气管推移训练。比较两组患者术后咽部相关症状及评分。结果试验组术后咽部不适症状明显轻于对照组（ Z=-5.732，P<0.001）。结论颈椎前路手术术前预防性使用氧气雾化吸入联合气管推移训练能有效减轻患者术后的咽部不适。
목적：관찰술전기관추이훈련연합양기무화흡입대감경경추전로수술환자술후인부불괄적료효。방법2009년7월지2012년3월선택경추전로수술환자70례，시험조34례，대조조36례。량조균안상규치료、호리，시험조행기관추이훈련，재술전3 d급여양기무화흡입，대조조부행기관추이훈련。비교량조환자술후인부상관증상급평분。결과시험조술후인부불괄증상명현경우대조조（ Z=-5.732，P<0.001）。결론경추전로수술술전예방성사용양기무화흡입연합기관추이훈련능유효감경환자술후적인부불괄。
Objective To observe the effect of preoperative trachea shift training combined with oxygen aerosol inhalation for relieving the pharyngeal symptoms in cervical operation through anterior approach. Methods 70 cases of cervical operations through anterior ap-proach in our hospital from September 2009 to March 2012 were chosen and divided randomly into the treatment group ( 34 cases ) and the control group ( 36 cases ) . The two groups were given the routine therapy and nursing care. The treatment group began the trachea shift training and oxygen aerosol inhalation on 3 d before operation, but the control group was only given the trachea shift training. The postoperative related pharyngeal symptoms and scores were compared between the two groups. Results The pharyngeal discomfort symp-toms in the treatment group were significantly slighter than those in the control group ( Z= -5. 732, P<0. 001 ) . Conclusion The pharyngeal symptoms can be relieved by the preventive oxygen aerosol inhalation combined with the trachea shift training before cervical operation through anterior approach.