上海口腔医学

上海口腔医学 ›› 2013, Vol. 22 ›› Issue (3): 342-344.

• 临床研究 • 上一篇    下一篇

冰冷敷在小儿腭裂手术中的应用

刘美霞1,2，王冠容1，丁弘1，张翔1，尚伟2*，王科2*   

  1. (1.青岛大学医学院附属医院 手术室，2.口腔颌面外科，山东 青岛 266003)
  • 收稿日期:2012-05-07 修回日期:2013-04-15 出版日期:2013-06-10 发布日期:2013-06-10
  • 通讯作者: 尚伟,Tel:0532-82912618,E-mail:Liweishang2004@aliyun.com; 王科,Tel:0532-82911359,E-mail：wkalexander@163.com。*并列通信作者
  • 作者简介:刘美霞(1963-)，女，学士，主管护师，Tel:0532-82911661,E-mail：jshine.zzz@139.com

Application of ice-cold compression in infantile palatoplasty

LIU Mei-xia1, WANG Guan-rong1, DING Hong1, ZHANG Xiang1, SHANG Wei2, WANG Ke2   

  1. 1.Department of Operating Room, 2.Department of Oral and Maxillofacial Surgery, The Affiliated Hospital of Medical College Qingdao University. Qingdao 266003, Shandong Province, China
  • Received:2012-05-07 Revised:2013-04-15 Online:2013-06-10 Published:2013-06-10

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摘要： 目的：探讨在小儿腭裂手术中用冰冷敷对术后肿胀和疼痛的治疗效果。方法：80例全身麻醉下行腭裂修复术的患儿，随机分为2组，每组40例。第1组术中用冰，拔除气管导管前，用冰冷敷口腔创口；第2组为对照组，采用常规处理。术后观察2组患者疼痛以及肿胀程度、进食情况。应用SPSS13.0软件包对2组资料进行t检验和χ2检验。结果：术后第6、12、24、48、72 h，术中用冰组患者术后疼痛、肿胀程度及饮食与对照组差异均有统计学意义。结论：小儿腭裂手术中用冰冷敷口腔，对减轻术后口腔肿胀、疼痛和改善饮食有明显效果。

关键词: 全身麻醉, 腭裂手术, 冷敷

Abstract: PURPOSE: To evaluate the clinical outcome of ice-cold compression in infantile palatoplasty under general anesthesia for oral swelling and pain relief. METHODS: Eighty children with congenital cleft palate who underwent palatoplasty under general anesthesia were divided into 2 groups: experimental group and control group. Ice-cold compression was used in the experimental group before extubation, while 40 cases without ice-cold application was included as control. The patients were observed for the degree of swelling, pain and food intake after operation. SPSS13.0 software package was used for Student’s test and Chi-square test. RESULTS: Significant difference of swelling pain of wound and food intake between the 2 groups was found after operation. CONCLUSIONS: Relief of swelling and pain using ice-cold compression can be obtained for infantile palatoplasty during the process of infantile palatoplasty.

Key words: General anesthesia, Palatoplasty, Ice-cold compression

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