摘要
目的探讨提高小儿(≤14岁)外耳道异物冲洗成功率及降低不良反应发生率的方法。方法本研究为随机对照试验,选取2021年1月至2022年5月在中国医科大学附属盛京医院耳鼻咽喉头颈外科门诊就诊的60例发生外耳道异物患儿作为研究对象,采用随机数字表法将患儿分为试验组和对照组,每组30例,对照组采用常规外耳道冲洗法进行操作,试验组采用脉冲式外耳道冲洗法进行操作,比较2组患儿外耳道异物冲洗成功率、冲洗时间、不良反应发生率及患儿家属满意度。结果试验组患儿外耳道异物冲洗成功率为80.0%(24/30),对照组为46.7%(14/30),2组比较差异有统计学意义(χ^(2)=7.18,P<0.05)。试验组患儿外耳道冲洗时间为(140.80±44.48)s,低于对照组的(296.60±82.79)s,差异有统计学意义(t=9.08,P<0.05)。试验组患儿不良反应发生率为23.3%(7/30),低于对照组的63.3%(19/30),差异有统计学意义(χ^(2)=9.77,P<0.05)。试验组患儿家属满意度为93.3%(28/30),高于对照组的36.7%(11/30),差异有统计学意义(χ^(2)=21.17,P<0.05)。结论脉冲式外耳道冲洗法可有效提高小儿外耳道异物冲洗成功率,节约冲洗时间,降低不良反应发生率,提高患儿家属满意度,可推广使用。
Objective To explore the methods to improve the success rate of external canal foreign body washing and reduce the incidence of adverse reaction in children(≤14 years old).Methods This study was a randomized controlled trial.A total of 60 pediatric patients with ear canal foreign bodies who were admitted to the otolaryngology-head and neck surgery clinic of Shengjing Hospital Affiliated to China Medical University from January 2021 to May 2022 were selected.The patients were divided into the experimental group and the control group by the random number table method,with 30 cases in each group.The experimental group were treated with pulsatile external auditory canal irrigation method,while the control group were treated with the conventional ear canal flushing method.The success rate of flushing,the flushing time,the incidence of adverse reactions and satisfaction of the patient's family were compared between the two groups.Results The success rate of flushing was 80.0%(24/30)in the experimental group and 46.7%(14/30)in the control group,with statistically significant difference(χ^(2)=7.18,P<0.05).The flushing time was(140.80±44.48)s in the experimental group and(296.60±82.79)s in the control group,with statistically significant difference(t=9.08,P<0.05).The incidence of adverse reactions was 23.3%(7/30)in the experimental group and 63.3%(19/30)in the control group,with statistically significant difference(χ^(2)=9.77,P<0.05).The satisfaction of the patient's family was 93.9%(28/30)in the experimental group and 36.7%(11/30)in the control group,with statistically significant difference(χ^(2)=21.17,P<0.05).Conclusions The pulsatile external auditory canal irrigation method can improve the success rate of ear canal foreign body flushing,shorten the flushing time and reduce the adverse reactions.The need for surgery and hospitalization due to ear canal foreign body,the suffering of patients and the corresponding cost can be decreased accordingly.The new treatment showed clear advantages clinically and should be widely applied.
作者
李迪
赵爽
Li Di;Zhao Shuang(Department of Otolaryngology Head and Neck Surgery,Shengjing Hospital Affiliated to China Medical University,Shenyang 110000,China)
出处
《中国实用护理杂志》
2023年第16期1230-1234,共5页
Chinese Journal of Practical Nursing
关键词
异物
儿童
外耳道冲洗
脉冲式
Foreign bodies
Child
Ear canal flushing
Pulsed
