泻黄散对全身麻醉术后脾胃伏火证病人口腔状况影响的临床研究.pdf

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1、·2340·CHINESENURSINGRESEARCHJuly，2015Vo1．29No．7A泻黄散对全身麻醉术后脾胃伏火证病人口腔状况影响的临床研究曹鲁梅，李五妹，段培蓓，雷燕，马翠芹，谷萍摘要：[目的]探讨泻黄散12腔含漱减少12臭、缓解咽部不适、降低12腔黏膜炎的可行性。[方法]采用随机抽样法将120例全身麻醉术后脾胃伏火证病人分成3组，每组4O例。观察组采用泻黄散12腔舍漱，对照1组用生理盐水含漱，对照2组采用银尔通漱口液含漱。观察3组病人12臭、咽部不适、12腔黏膜炎发生情况及12腔pH变化情况。结果]干预后观察组12臭的发生率明显低于对照组(P<0．05)，

2、且咽部不适的干预总有效率高于对照组(P<0．05)，3组口腔黏膜炎的发生率比较差异无统计学意义(P>0．05)；干预后观察组和对照1组病人的口腔平均PH值升高，对照2组口腔pH值较低，差异有统计学意义(P<0．05)。[结论]全身麻醉术后脾胃伏火证病人应用泻黄散口腔含漱，可有效降低12臭、口腔黏膜炎的发生率，缓解咽部不适，改善口腔PH值变化。关键词：全身麻醉；手术后；脾胃伏火证；泻黄散；生理盐水；银尔通漱口液；口腔状况ClinicalstudyoninfluenceofXiehuangpowderonoralstatusofpatientswithstomachvoltf

3、irediseaseaftergeneralanesthesiaCaoLumei，LiWumei，DuanPeibei，etal(TCMHospitalofJiangsuProvince，Jiangsu210029China)AbstractObjective：ToprobeintothefeasibilityofmouthwashwithXiehuangpowderforreducingbadbreath，relievingthroatdiscomfortandreducingoralmucosainflammation．Methods：Atotalof120cases

4、ofspleenandstomachfiresyndromepatientsaftergeneralanesthesiaweredividedinto3groupsbyusingrandomsamplingmethod，40casesineach．ThepatientsinobservationgroupusedXiehuangpowderforgargle，thepatientsincontrolgroup1usedsalineforgargle．andthepatientsincontrolgroup2usedyin’ertongmouthwashforgar—gle

5、．Thebadbreath，throatdiscomfort，ora1mucosainflammatoryconditionsandoralPHchangeswereobservedinthreegroups．Results：Theincidenceofbadbreathinobservationgroupwassignificantlylowerthanthatincontrolgroup(P~0．05)，andthetotaleffectiverateofpharyngealdiscomfortwashigherthanthatincontrolgroup(P

6、5)．Therewasnostatisticallysignificantdifferenceintheincidenceoforalmucosainflammationamongthethreegroups(P>0．O5)；TheaveragepHvaluesofthepatientsinobservationgroupandcontrolgroup1increasedafterintervention，theora1pHvaluesincontrolgroup2waslower。andthedifferencewassta—tisticallysignificant(

7、P~0．05)．Conclusion：MouthwashwithXiehuangpowdercaneffectivelyreducethehalito—sisandtheincidenceoforalmucositis，relievethroatdiscomfort，improveoralpHchangesinpatientswithstom—achandstomachfiresyndromeaftergeneralanesthesia．Keywordsgeneralanesthesia；postoperative；stoma