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多方式综合治疗减轻悬雍垂腭咽成形术后咽腔不适的临床研究

Chen ZHAO,Hongming WANG,Yi MA,Huai'an YANG,Xuejun JIANG

Chinese Archives of Otolaryngology-Head and Neck Surgery（2017）

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Abstract
目的 分析多方式综合治疗减轻悬雍垂腭咽成形术(UPPP)后咽腔不适的疗效.方法 选择UPPP术后患者60例,实验组30例应用多方式综合治疗方案,包括鼻饲饮食,全咽腔吸引换药,布地奈德2 mg,2次/d雾化,氟比洛芬酯100 mg,2次/d镇痛.对照组30例采用流食,常规口腔护理.视觉模拟评分法(VAS)对术后当日至第7天咽腔疼痛、咽部阻塞感,咽腔分泌物滞留程度评分,并比较切口愈合率.结果 术后当日和第1天VAS评分最高(6～7.5).实验组疼痛、咽部阻塞感、分泌物滞留程度评分均低于对照组,且切口Ⅰ级愈合率(53.3％)高于对照组(26.7％)(P＜0.05).结论 UPPP所致咽腔不适的高峰期为术后48 h之内.多方式综合治疗能有效改善症状,提高切口愈合率.
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Key words
Sleep Apnea,Obstructive,uvulopalatopharyngoplasty,Combined Modality Therapy,Pain,Postoperative
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