CAJ | 학술논문

目的：探讨使用颈部冰敷预防或减轻术后喉头水肿、伤口血肿及疼痛的效果。方法将2011年10月至2013年10月行颈椎前路手术后的患者60例按随机数字表法分为研究组和对照组，每组30例。研究组给予常规护理及颈部冰敷，对照组只给予常规护理。观察2组患者术后的喉头水肿、伤口血肿及疼痛程度。结果研究组与对照组比较，给予颈部间断冰敷后可以显著减轻术后伤口疼痛和减少伤口血肿（P ＜0．001）；在术后24 h 内预防或减轻喉头水肿效果显著（P ＜0．01），而术后48 h 时差异无统计学意义（P ＞0．05）。结论颈椎前路手术后使用颈部冰敷可以预防或减少术后喉头水肿、伤口血肿的发生，减轻伤口疼痛，从而减轻患者的痛苦。
목적：탐토사용경부빙부예방혹감경술후후두수종、상구혈종급동통적효과。방법장2011년10월지2013년10월행경추전로수술후적환자60례안수궤수자표법분위연구조화대조조，매조30례。연구조급여상규호리급경부빙부，대조조지급여상규호리。관찰2조환자술후적후두수종、상구혈종급동통정도。결과연구조여대조조비교，급여경부간단빙부후가이현저감경술후상구동통화감소상구혈종（P ＜0．001）；재술후24 h 내예방혹감경후두수종효과현저（P ＜0．01），이술후48 h 시차이무통계학의의（P ＞0．05）。결론경추전로수술후사용경부빙부가이예방혹감소술후후두수종、상구혈종적발생，감경상구동통，종이감경환자적통고。
ABSTRACT:Objective To investigate the efficacy of cervical ice compress for preventing or re-ducing postoperative laryngeal edema,wound hematoma and pain.Methods Sixty patients who received anterior cervical surgery between October 2011 and October 2013 were randomly given routine nursing care alone(control group,n = 30)or in combination with cervical ice compress (study group,n=30).Laryngeal edema,wound hematoma and pain degree were observed in both groups.Results Compared with control group,discontinuous cervical ice compress significantly reduced postoperative wound pain and hematoma(P <0.001),and obviously relieved or prevented laryngeal edema within 24 hours after surgery(P <0.01).However,no significant difference in la-ryngeal edema was found between the two groups at 48 hours after surgery(P >0.05).Conclusion Cervical ice compress after anterior cervical surgery can prevent or reduce postoperative laryngeal edema and wound hematoma,reduce wound pain,and alleviate suffering of patients.