摘要
目的探讨预防和缓解经内镜鼻胆管外引流术术后留置鼻胆管患者口鼻及咽喉部不适的方法。方法将87例鼻胆管引流期间患者随机分为A、B、C三组,A组采用复方薄荷油滴鼻液滴鼻;B组采用盐酸氨溴索加生理盐水氧气雾化吸入;C组用自制薄荷水氧气雾化吸入。结果三组口鼻咽喉吞咽不适反应发生率及置管期间总体舒适程度差异显著(P<0.05,P<0.01)。结论三种方法各有优势,鼻胆管留置期间可根据患者的不同情况采用不同方法进行滴鼻或雾化吸入。
Objective To investigate methods for preventing or relieving discomfort of patients receiving nasobiliary drainage after ERCP. Methods A total of 87 patients undergoing nasobiliary drainage were randomized into three groups ： group A received nasal drip of compound menthol, group B were put on nebulization with ambroxol and normal saline, and group C were subjected to ne- bulization with menthol. Results The incidence of discomfort during swallowing in the group C was significantly lower than the other two groups （P〈0.05） ; the total incidence of discomfort had significant difference among the three groups （P〈0.01）. Conclusion It is suggested that nasal drip or nebulization should be provided based on patientsr conditions; pharyngolaryngeal discomfort is most effectively relieved by using nasal drip with compound menthol.
关键词
内镜鼻胆管引流术
薄荷油滴鼻液
盐酸氨溴索
生理盐水
薄荷水
雾化吸入
舒适护理
endoscopic nasobiliary drainage
nasal drip with compound menthol
ambroxol
normal saline
menthol
nebu-lization
comfort nursing
