CAJ | 학술논문

目的：通过前瞻性的病例对照研究探讨精确气道湿化对低温等离子扁桃体切除术后患者伤口出血量、咽痛、黏膜淤血水肿和痰液黏稠度的影响。方法将58例患者按随机数字表分为如下3组：精确气道湿化组、氧气雾化吸入组和对照组。精确气道湿化组采用AIRVOTM系列呼吸湿化治疗仪雾化吸入，氧气雾化吸入组采用布地奈德混悬液氧气雾化吸入，对照组采用生理盐水行氧气雾化吸入。术后连续3 d对患者伤口出血量、咽痛、黏膜淤血水肿情况和痰液黏稠度进行评估。结果精确气道湿化组和氧气雾化吸入组患者术后第2天、第3天咽痛均较对照组明显改善（P均<0.001），且精确气道湿化组术后黏膜淤血水肿及痰液黏稠度改善均明显好于氧气雾化吸入组和对照组（P均<0.05）。结论精确气道湿化可显著减轻低温等离子扁桃体切除术后伤口疼痛、改善黏膜淤血水肿和痰液黏稠度，促进患者早期恢复。
목적：통과전첨성적병례대조연구탐토정학기도습화대저온등리자편도체절제술후환자상구출혈량、인통、점막어혈수종화담액점주도적영향。방법장58례환자안수궤수자표분위여하3조：정학기도습화조、양기무화흡입조화대조조。정학기도습화조채용AIRVOTM계렬호흡습화치료의무화흡입，양기무화흡입조채용포지내덕혼현액양기무화흡입，대조조채용생리염수행양기무화흡입。술후련속3 d대환자상구출혈량、인통、점막어혈수종정황화담액점주도진행평고。결과정학기도습화조화양기무화흡입조환자술후제2천、제3천인통균교대조조명현개선（P균<0.001），차정학기도습화조술후점막어혈수종급담액점주도개선균명현호우양기무화흡입조화대조조（P균<0.05）。결론정학기도습화가현저감경저온등리자편도체절제술후상구동통、개선점막어혈수종화담액점주도，촉진환자조기회복。
[ABSTRACT]OBJECTIVETo investigate the effect of accurate airway humidification on hemorrhage, pharyngalgia, mucosal edema and sputum viscosity in patients with low-temperature plasma coblation-assisted tonsillectomy.METHODS58 cases were divided into three groups by using random numbers.In accurate airway humidification group, atomizing inhalation was carried out by AIRVOTM series apparatus; in oxygen atomizing group, budesonide suspension was used; in control group, saline was used. We evaluated the hemorrhage, pharyngalgia, mucosal edema and sputum viscosity in 3 consecutive postoperative days.RESULTSPharyngalgia in accurate airway humidification group and in oxygen atomizing group were both significantly reduced than that of the control group (P<0.001). Besides, in accurate airway humidification group, mucosal edema and sputum viscosity were significantly improved than that of the oxygen atomizing group (P<0.05) and control group (P<0.05).CONCLUSIONAccurate airway humidification could reduce the complications such as pharyngalgia, mucosal edema and purulent sputum after low-temperature plasma coblation-assisted tonsillectomy, and could accelerate recovery from surgery.