精确气道湿化对低温等离子扁桃体切除术后患者的影响

目的：研究精确气道湿化对低温等离子扁桃体切除术后患者的影响。方法选取2015年3月至2016年3月在我院耳鼻喉科接受低温等离子下扁桃体切除手术治疗的慢性扁桃体炎患者116例。依据数表法随机将患者分为观察组和对照组各58例，两组患者均给予低温等离子下扁桃体切除手术，但术后对照组给予常规氧气雾化，观察组给予精确气道湿化，比较两组患者手术指标，术后不同时期的咽痛评分、黏膜瘀血水肿以及痰液黏稠度，术后出血类别。结果两组患者的手术时间[(16.39±4.72) min vs (17.18±3.25) min]和术中出血量[(8.06±1.98) mL vs (8.12±1.49) mL]，以及白膜产生时间[(7.59±2.03) h vs（7.62±2.11）h]和白膜脱落时间[(10.36±1.74) d vs (11.47±1.66) d]比较，差异均无统计学意义(P>0.05)；术后3 d，观察组患者的咽痛、黏膜瘀血水肿及痰液黏稠度评分分别为(1.16±0.42)分、(0.56±0.33)分和(1.01±0.03)分，均明显低于对照组的(2.89±0.46)分、(1.26±0.37)分和(1.36±0.18)分，差异均有统计学意义(P<0.05)；两组患者的原发性出血和继发性出血发生率比较，差异均无统计学意义(P>0.05)。结论精确气道湿化措施能够明显缓解低温等离子下扁桃体切除手术后形成的伤口疼痛症状，还可改善患者的黏膜瘀血水肿及痰液粘稠度情况，安全性好，值得临床推广。

Effect of accurate airway humidification on patients with low temperature plasma after tonsillectomy

Objective To study the effect of accurate airway humidification on patients with low temperature plasma after tonsillectomy. Methods A total of 116 cases of chronic tonsillitis patients with, who admitted to our hospi-tal and underwent low temperature plasma tonsillectomy surgery from March 2015 to March 2016, were selected and di-vided into the observation group and the control group according to the digital random table method, with 58 cases in each group. The two groups of patients were all given low temperature plasma. The control group was given routine oxygen atomization, and the observation group was given precise airway humidification. The mucosal congestion and edema, sore throat score, sputum viscosity, categories of postoperative bleeding of different periods after operation and operation parameters in the two groups were compared. Results There was no significant difference between the two groups in the operation time, intraoperative blood loss, tunica albuginea produce time and tunica albuginea shed-ding time, (16.39±4.72) min vs (17.18±3.25) min, (8.06±1.98) mL vs (8.12±1.49) mL, (7.59±2.03) h vs (7.62±2.11) h, (10.36±1.74) d vs (11.47±1.66) d, P>0.05. Three days after treatment, the sore throat score, mucosal congestion and ede-ma score and sticky sputum score in the observation group, (1.16±0.42), (0.56±0.33), (1.01±0.03), respectively, were sig-nificantly lower than those in the control group of (2.89 ± 0.46), (1.26 ± 0.37), (1.36 ± 0.18), respectively, P<0.05. There was no significant difference between the two groups in the incidence of primary hemorrhage and secondary bleeding (P>0.05). Conclusion The accurate airway moistening measures can significantly relieve low temperature plasma ton-sil resection after the formation of wound pain symptom, and improve patients with mucous congestion, edema and spu-tum viscosity situation. It is safety and worthy of clinical promotion.