西部中医药
西部中醫藥
서부중의약
GANSU JOURNAL OF TRADITIONAL CHINESE MEDICINE
2014年
5期
116-119
,共4页
腭裂%白及二花%冰块%口腔护理
腭裂%白及二花%冰塊%口腔護理
악렬%백급이화%빙괴%구강호리
cleft palate%BaiJi and JinYinHua%ice cubes%mouth care
目的：观察白及二花冰块结合传统护理方法在腭裂术后口腔护理中的应用效果。方法：将腭裂患者164例随机分为试验组和对照组各82例，对照组在腭裂术后采用传统口腔护理方法（0.9%盐水棉球擦洗、3%双氧水漱口，3次/d）进行护理；试验组在对照组基础上采用与自制白及二花冰块（5～6次/d，1粒/次）口含交替使用的方法进行护理，5～7天后观察2组患者术后伤口疼痛程度、肿胀消失时间、渗血消失时间、伤口愈合时间以及伤口感染率、复裂或腭瘘发生率情况。结果：术后伤口疼痛程度试验组明显轻于对照组（χ2=26.8304， P＜0.001）；肿胀消失时间试验组为（2.8±0.6）d明显短于对照组（3.1±0.5）d（t=3.4883，P＜0.01）；渗血消失时间试验组为（30.7±9.4）h明显短于对照组（35.1±10.3）h（t=2.8571，P＜0.01）；伤口愈合时间试验组（11.8±2.9）d明显短于对照组（13.5±3.2)d（t=3.617，P＜0.01）；试验组伤口感染率为2.44%(2/82)，明显低于对照组的12.19%(10/82)（χ2=4.4057，P＜0.05）；复裂或腭瘘发生率试验组为7.32%（6/82），与对照组的9.76%（8/82）比较χ2=0.3132，P＞0.05。结论：口含白及二花冰块在减轻腭裂术后并发症，促使伤口愈合方面明显优于传统口腔护理方法。
目的：觀察白及二花冰塊結閤傳統護理方法在腭裂術後口腔護理中的應用效果。方法：將腭裂患者164例隨機分為試驗組和對照組各82例，對照組在腭裂術後採用傳統口腔護理方法（0.9%鹽水棉毬抆洗、3%雙氧水漱口，3次/d）進行護理；試驗組在對照組基礎上採用與自製白及二花冰塊（5～6次/d，1粒/次）口含交替使用的方法進行護理，5～7天後觀察2組患者術後傷口疼痛程度、腫脹消失時間、滲血消失時間、傷口愈閤時間以及傷口感染率、複裂或腭瘺髮生率情況。結果：術後傷口疼痛程度試驗組明顯輕于對照組（χ2=26.8304， P＜0.001）；腫脹消失時間試驗組為（2.8±0.6）d明顯短于對照組（3.1±0.5）d（t=3.4883，P＜0.01）；滲血消失時間試驗組為（30.7±9.4）h明顯短于對照組（35.1±10.3）h（t=2.8571，P＜0.01）；傷口愈閤時間試驗組（11.8±2.9）d明顯短于對照組（13.5±3.2)d（t=3.617，P＜0.01）；試驗組傷口感染率為2.44%(2/82)，明顯低于對照組的12.19%(10/82)（χ2=4.4057，P＜0.05）；複裂或腭瘺髮生率試驗組為7.32%（6/82），與對照組的9.76%（8/82）比較χ2=0.3132，P＞0.05。結論：口含白及二花冰塊在減輕腭裂術後併髮癥，促使傷口愈閤方麵明顯優于傳統口腔護理方法。
목적：관찰백급이화빙괴결합전통호리방법재악렬술후구강호리중적응용효과。방법：장악렬환자164례수궤분위시험조화대조조각82례，대조조재악렬술후채용전통구강호리방법（0.9%염수면구찰세、3%쌍양수수구，3차/d）진행호리；시험조재대조조기출상채용여자제백급이화빙괴（5～6차/d，1립/차）구함교체사용적방법진행호리，5～7천후관찰2조환자술후상구동통정도、종창소실시간、삼혈소실시간、상구유합시간이급상구감염솔、복렬혹악루발생솔정황。결과：술후상구동통정도시험조명현경우대조조（χ2=26.8304， P＜0.001）；종창소실시간시험조위（2.8±0.6）d명현단우대조조（3.1±0.5）d（t=3.4883，P＜0.01）；삼혈소실시간시험조위（30.7±9.4）h명현단우대조조（35.1±10.3）h（t=2.8571，P＜0.01）；상구유합시간시험조（11.8±2.9）d명현단우대조조（13.5±3.2)d（t=3.617，P＜0.01）；시험조상구감염솔위2.44%(2/82)，명현저우대조조적12.19%(10/82)（χ2=4.4057，P＜0.05）；복렬혹악루발생솔시험조위7.32%（6/82），여대조조적9.76%（8/82）비교χ2=0.3132，P＞0.05。결론：구함백급이화빙괴재감경악렬술후병발증，촉사상구유합방면명현우우전통구강호리방법。
Objective: To observe the effects ofBaiJi(Bletillastriata) andJinYinHua(lonicera japonica) ice cubes combined with traditional nursing method applied to mouth care of the patients after cleft palate. Methods: All 164 patients were randomly divided to the trial group and the control group. The control group were nursed by the method of traditional mouth care(wiped with 0.9% saline cotton ball, gargled with 3% aquae hydrogenii dioxide, three times per day) after they received the surgery of cleft palate, the trial group were cared with self-madeBaiJiand JinYinHuaice cubes in the mouth (one pill each time, five to six times per day). The incidence of rima or palatal fistula, infection rate of the wound, wound healing time, disappearing time of capillary hemorrhage, disappearing time of swelling and pain degrees of postoperative wound in both groups were observed in five to seven days. Results: Pain degrees of postoperative wound in the trial group were lighter than these of the control group significantly (χ2=26.8304,P<0.001); disappearing time of swelling of the trial group was (2.8±0.6)d, obviously shorter than (3.1±0.5)d of the control group (t=3.4883,P<0.01); disappearing time of capillary hemorrhage of the trial group was (30.7±9.4)h, notably less than (35.1±10.3)h of the control group (t=2.8571,P<0.01); wound healing time of the trial group was (11.8±2.9)d, significantly shorter than (13.5±3.2) of the control group (t=3.617,P<0.01); wound infection rate of the trial group was 2.44% (2/82), remarkably lower than 12.19% (10/82) of the control group (χ2=4.4057,P<0.05); the incidence of rima or palatal fistula was 7.32%(6/82), lower than 9.76% (8/82) of the con-trol group, the comparison showed(χ2=0.3132,P>0.05). Conclusion: BuccalBaiJiandJinYinHuaice cubes could alleviate the complications after the surgery of cleft palate and promote wound healing, it is superior to traditional mouth care method.
