术后进食不同温度流质对于扁桃体切除术患者镇痛效果及胃肠功能的影响
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摘要
目的:探讨不同温度流质对于扁桃体切除术后患者镇痛效果及胃肠功能的影响,并明确扁桃体切除术后患者的最佳流质温度。方法:选取择期在徐州医科大学附属淮安医院进行扁桃体切除术的60例患者进行研究。研究开始前先用Excel软件设计随机数字表,患者依据编码分为3组,每组各20例,给予不同温度的流质。术后2h～1d所进食的食物均进行控温,A组流质在4℃冰箱冷藏保存,患者食用时从冰箱取出立即食用。B组流质则在4℃冰箱冷藏保存后取出,待温度升至15℃时给患者食用。C组流质在烹制完成后降至30℃时给患者食用。其余时间进食相同温度软食。结果:3组患者在进食后各时间点疼痛视觉模拟评分法(Visual Analogue Scale,VAS)测评结果均无明显区别(P>0.05)。进食后2 h,0.5 d,1 d,C组胃肠不适发生率均明显低于其他2组(P<0.05),进食后2 d三组患者胃肠不适发生率无明显差别(P>0.05)。结论:不同温度流质对扁桃体切除术后患者镇痛效果无明显区别,但对胃肠不适等影响明显。30℃为扁桃体切除术患者最佳流质温度,不影响伤口的镇痛,同时可明显降低进食低温流质引起的胃肠不适。
Objective: To investigate the effects of different temperature fluids on the analgesic effect and gastrointestinal function of patients after tonsillectomy, and to determine the optimal fluid temperature of patients after tonsillectomy. Methods: Sixty patients who underwent tonsillectomy in our hospital were selected for study. Before the start of the study, the random number table was designed with Excel software. The patients were divided into 3 groups according to the code, 20 cases in each group, and the fluids with different temperatures weregiven. The foods that were eaten from 2 h to 1 d after operation were temperature-controlled. The fluid of group A was stored in a refrigerator at 4 ℃. The patient was taken out of the refrigerator and consumed immediately. The liquidity of group B was taken out after storage in a refrigerator at 4 ℃, and was given to the patient when the temperature was raised to 15 ℃. Group C fluid was given to the patient when it was lowered to 30 ℃ after cooking. Eat the same temperature soft food for the rest of the time. Results: There were no significant differences in pain Visual Analogue Scale(VAS) between the three groups at each time point after eating(P>0.05). The incidence of gastrointestinal discomfort in group C was significantly lower than that in the other two groups(P<0.05) at 2 h, 0.5 d, and 1 d after eating. There was no significant difference in the incidence of gastrointestinal discomfort between the three groups after eating(P>0.05). Conclusion: There is no significant difference in the analgesic effect of patients with tonsillectomy after different temperature fluids, but the effect on gastrointestinal discomfort is obvious. 30 ℃ is the best fluid temperature for patients with tonsillectomy, does not affect the analgesia of the wound, and can significantly reduce the gastrointestinal discomfort caused by eating low temperature fluid.
Objective: To investigate the effects of different temperature fluids on the analgesic effect and gastrointestinal function of patients after tonsillectomy, and to determine the optimal fluid temperature of patients after tonsillectomy. Methods: Sixty patients who underwent tonsillectomy in our hospital were selected for study. Before the start of the study, the random number table was designed with Excel software. The patients were divided into 3 groups according to the code, 20 cases in each group, and the fluids with different temperatures weregiven. The foods that were eaten from 2 h to 1 d after operation were temperature-controlled. The fluid of group A was stored in a refrigerator at 4 ℃. The patient was taken out of the refrigerator and consumed immediately. The liquidity of group B was taken out after storage in a refrigerator at 4 ℃, and was given to the patient when the temperature was raised to 15 ℃. Group C fluid was given to the patient when it was lowered to 30 ℃ after cooking. Eat the same temperature soft food for the rest of the time. Results: There were no significant differences in pain Visual Analogue Scale(VAS) between the three groups at each time point after eating(P>0.05). The incidence of gastrointestinal discomfort in group C was significantly lower than that in the other two groups(P<0.05) at 2 h, 0.5 d, and 1 d after eating. There was no significant difference in the incidence of gastrointestinal discomfort between the three groups after eating(P>0.05). Conclusion: There is no significant difference in the analgesic effect of patients with tonsillectomy after different temperature fluids, but the effect on gastrointestinal discomfort is obvious. 30 ℃ is the best fluid temperature for patients with tonsillectomy, does not affect the analgesia of the wound, and can significantly reduce the gastrointestinal discomfort caused by eating low temperature fluid.
引文
1.胡秀英,沈美琴.扁桃体摘除术后的护理[J].护士进修杂志,2015,30(6):559-561.HU Xiuying,SHEN Meiqin.Nursing care after tonsillectomy[J].Journal of Nurses Training,2015,30(6):559-561.
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3.王秀珍,徐梅,王令焕.自制垫肩式冷敷袋在扁桃体摘除术后患者中的应用[J].中华现代护理杂志,2015,21(14):1729-1730.WANG Xiuzhen,XU Mei,WANG Linghuan.Application of self-made shoulder pad cold compress bag in patients after tonsillectomy[J].Chinese Journal of Modern Nursing,2015,21(14):1729-1730.
4.李莎,杨英,王萍,等.电动充气式肩颈一体枕的制作及其在小儿扁桃体切除术中的应用[J].解放军护理杂志,2015,32(4):70-71.LI Sha,YANG Ying,WANG Ping,et al.Fabrication of electric inflatable shoulder and neck integrated pillow and its application in pediatric tonsillectomy[J].Nursing Journal of Chinese People’s Liberation Army,2015,32(4):70-71.
5.Shay S,Shapiro NL,Bhattacharyya N.Revisit rates and diagnoses following pediatric tonsillectomy in a large multistate population[J].Laryngoscope,2015,125(2):457-461.
6.陈小慧,鲍凤香,刘海波.全麻扁桃体切除术后患者两种体位的比较研究[J].泰山医学院学报,2015,36(6):642-644.CHEN Xiaohui,BAO Fengxiang,LIU Haibo.Comparative study of two postural positions in patients after general anesthesia tonsillectomy[J].Journal of Taishan Medical College,2015,36(6):642-644.
7.张标新,李伦兰,朱子秀,等.儿童扁桃体切除术后疼痛的非药物性护理干预[J].护理学杂志,2016,31(14):21-23.ZHANG Biaoxin,LI Lunlan,ZHU Zixiu,et al.Non-pharmacological nursing intervention for pain after tonsillectomy in children[J].Journal of Nursing Science,2016,31(14):21-23.
8.He S,Chen J.Whether tonsillectomy is necessary for pediatric osa with small tonsils?Drug induced sleep endoscopy can tell[J].Sleep Med,2017,40(Suppl 1):e128.
9.药晋红,郑虹彩,李楠.扁桃体切除术后疼痛护理进展[J].中华现代护理杂志,2007,13(19):1831-1832.YAO Jinhong,ZHENG Hongcai,LI Nan.Progress in pain nursing after tonsillectomy[J].Chinese Journal of Modern Nursing,2007,13(19):1831-1832.
10.Hermans V,De Pooter F,De Groote F,et al.Effect of dexamethasone on nausea,vomiting,and pain in paediatric tonsillectomy[J].Br JAnaesth,2012,109(3):427-431.
11.关凤蕊,马振玲,杨金铭.综合护理在儿童OSAS手术中的应用研究[J].护理研究,2015,29(2):762-763.GUAN Fengrui,MA Zhenling,YANG Jinming.Application of comprehensive nursing in children’s OSAS surgery[J].Chinese Nursing Research,2015,29(2):762-763.
12.S?derman AC,Odhagen E,Ericsson E,et al.Post-tonsillectomy haemorrhage rates are related to technique for dissection and for haemostasis.An analysis of 15734 patients in the National Tonsil Surgery Register in Sweden[J].Clin Otolaryngol,2015,40(3):248-254.
13.Moutinho S,Peres H,Serra C,et al.Meat and bone meal as partial replacement of fishmeal in diets for gilthead sea bream(Sparus aurata)juveniles:DIETS digestibility,digestive function,and microbiota modulation[J].Aquaculture,2017,479:721-731.
2.Liu LL,Wang LN,Jiang Y,et al.Tonsillectomy for IgA nephropathy:a meta-analysis[J].Am J Kidney Dis,2015,65(1):80-87.
3.王秀珍,徐梅,王令焕.自制垫肩式冷敷袋在扁桃体摘除术后患者中的应用[J].中华现代护理杂志,2015,21(14):1729-1730.WANG Xiuzhen,XU Mei,WANG Linghuan.Application of self-made shoulder pad cold compress bag in patients after tonsillectomy[J].Chinese Journal of Modern Nursing,2015,21(14):1729-1730.
4.李莎,杨英,王萍,等.电动充气式肩颈一体枕的制作及其在小儿扁桃体切除术中的应用[J].解放军护理杂志,2015,32(4):70-71.LI Sha,YANG Ying,WANG Ping,et al.Fabrication of electric inflatable shoulder and neck integrated pillow and its application in pediatric tonsillectomy[J].Nursing Journal of Chinese People’s Liberation Army,2015,32(4):70-71.
5.Shay S,Shapiro NL,Bhattacharyya N.Revisit rates and diagnoses following pediatric tonsillectomy in a large multistate population[J].Laryngoscope,2015,125(2):457-461.
6.陈小慧,鲍凤香,刘海波.全麻扁桃体切除术后患者两种体位的比较研究[J].泰山医学院学报,2015,36(6):642-644.CHEN Xiaohui,BAO Fengxiang,LIU Haibo.Comparative study of two postural positions in patients after general anesthesia tonsillectomy[J].Journal of Taishan Medical College,2015,36(6):642-644.
7.张标新,李伦兰,朱子秀,等.儿童扁桃体切除术后疼痛的非药物性护理干预[J].护理学杂志,2016,31(14):21-23.ZHANG Biaoxin,LI Lunlan,ZHU Zixiu,et al.Non-pharmacological nursing intervention for pain after tonsillectomy in children[J].Journal of Nursing Science,2016,31(14):21-23.
8.He S,Chen J.Whether tonsillectomy is necessary for pediatric osa with small tonsils?Drug induced sleep endoscopy can tell[J].Sleep Med,2017,40(Suppl 1):e128.
9.药晋红,郑虹彩,李楠.扁桃体切除术后疼痛护理进展[J].中华现代护理杂志,2007,13(19):1831-1832.YAO Jinhong,ZHENG Hongcai,LI Nan.Progress in pain nursing after tonsillectomy[J].Chinese Journal of Modern Nursing,2007,13(19):1831-1832.
10.Hermans V,De Pooter F,De Groote F,et al.Effect of dexamethasone on nausea,vomiting,and pain in paediatric tonsillectomy[J].Br JAnaesth,2012,109(3):427-431.
11.关凤蕊,马振玲,杨金铭.综合护理在儿童OSAS手术中的应用研究[J].护理研究,2015,29(2):762-763.GUAN Fengrui,MA Zhenling,YANG Jinming.Application of comprehensive nursing in children’s OSAS surgery[J].Chinese Nursing Research,2015,29(2):762-763.
12.S?derman AC,Odhagen E,Ericsson E,et al.Post-tonsillectomy haemorrhage rates are related to technique for dissection and for haemostasis.An analysis of 15734 patients in the National Tonsil Surgery Register in Sweden[J].Clin Otolaryngol,2015,40(3):248-254.
13.Moutinho S,Peres H,Serra C,et al.Meat and bone meal as partial replacement of fishmeal in diets for gilthead sea bream(Sparus aurata)juveniles:DIETS digestibility,digestive function,and microbiota modulation[J].Aquaculture,2017,479:721-731.