Effect of different cold compress methods on postoperative pain and wound healing after tonsillectomy
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摘要:目的 探讨不同冷敷方法对扁桃体摘除术患者术后疼痛及创面愈合的影响。方法 将本科室收治的120例符合病例入选标准的行扁桃体摘除术的患者随机分为观察组和对照组，每组60例。对照组术后给予常规冷敷处理，观察组采用冰沙混合液冷敷。比较2组患者术后出血率、疼痛情况及创面愈合情况。结果 观察组术后原发性出血率低于对照组(P < 0.05), 且术后1、6、12、24 h的疼痛评分低于对照组，差异均有统计学意义(P < 0.05)。观察组白膜出现时间、创面愈合时间短于对照组，疼痛护理满意度高于对照组，差异有统计学意义(P < 0.05)。结论 冰沙混合冷敷能够显著减轻扁桃体摘除术患者的术后疼痛，减少出血，促进创面愈合。Abstract:Objective To investigate the effect of different cold compress methods on pain and wound healing after tonsillectomy.Methods A total of 120 patients who met the inclusion criteria for tonsillectomy were randomly divided into observation group and control group, with 60 cases in each group. The control group was treated with routine cold compress after operation, while the observation group was treated with mixture of sand-like ice for cold compress. The postoperative bleeding rate, pain and wound healing were compared between the two groups.Results The rate of primary bleeding in the observation group was lower (P < 0.05), and the pain scores at 1, 6, 12 and 24 hours after operation were lower than those of the control group, and the differences were statistically significant (P < 0.05). The time of albuginea appearance and wound healing in the observation group was shorter, and the satisfaction of pain nursing was higher than that in the control group (P < 0.05).Conclusion Sand-like ice mixture cold compress can significantly relieve postoperative pain, reduce bleeding and promote wound healing in patients undergoing tonsillectomy.
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Keywords:
- cold compress /
- tonsillectomy /
- postoperative pain /
- wound healing /
- nursing
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表 1 2组患者术后疼痛情况比较(x±s)
分 组别 n 术后1 h 术后6 h 术后12 h 术后24 h 观察组 60 4.23±1.04* 3.47±1.05* 2.48±0.92* 1.78±0.86* 对照组 60 4.78±1.21 4.05±1.13 3.19±1.04 2.52±0.95 与对照组比较, *P < 0.05。 
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表 2 2组患者术后出血、创面愈合情况、疼痛护理满意度比较(x±s) [n(%)]
组别 n 术后原发性出血 创面愈合情况 疼痛护理满意度/分 薄膜出现/h 创面愈合/d 观察组 60 0* 6.25±1.32* 6.52±1.21* 99.75±5.42* 对照组 60 6(10.00) 7.48±1.76 7.83±1.44 94.21±7.83 与对照组比较, *P < 0.05。
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