牛碱性成纤维细胞生长因子应用于单极电凝扁桃体切除术后的观察和护理

郑瑶珍 范安莉 李美丽

[摘要]目的 探讨牛碱性成纤维细胞生长因子在单极电凝扁桃体切除术后的应用效果。方法 选取我院2014年6月～2016年12月收治的40例双侧扁桃体切除术患者，将其按照随机数字表法分为对照组（20例，给予常规单极电凝扁桃体切除术和常规护理）和观察组（20例，在对照组基础上使用牛碱性成纤维细胞生长因子）。比较两组患者术后24、48、72 h的疼痛评分以及术后恢复正常饮食时间和出血率。结果 观察组患者术后24、48、72 h的疼痛评分均明显低于对照组，恢复正常饮食时间明显短于对照组，差异有统计学意义（P<0.05）。两组患者的术后出血率比较，差异无统计学意义（P>0.05）。结论 单极电凝扁桃体切除术后应用牛碱性成纤维细胞生长因子的临床效果显著，患者术后疼痛明显减轻，值得临床大力推广应用。

[关键词]单极电凝扁桃体切除术;牛碱性成纤维细胞生长因子;临床效果;护理体会

[中图分类号] R473.5          [文献标识码] A          [文章编号] 1674-4721（2019）7（a）-0194-03

[Abstract] Objective To investigate the application effect of Bovine Basic Fibroblast Growth Factor after unipolar electrocoagulation tonsillectomy. Methods All of 40 patients with bilateral tonsillectomy treated in our hospital from June 2014 to December 2016 were selected and they were divided into the control group （20 cases， they were treated with conventional unipolar electrocoagulation tonsillectomy and routine nursing） and observation group （20 cases， they were treated with Bovine Basic Fibroblast Growth Factor on the basis of control group） by the random number table method. Pain scores of 24， 48 and 72 hours after operation， the time to resume normal diet after operation and bleeding rate after operation were compared between the two groups. Results The pain scores at 24， 48 and 72 hours after operation in patients of the observation group were significantly lower than those in the control group， and the time to resume normal diet after operation in patients of the observation group was significantly shorter than that in the control group， and the differences were statistically significant （P<0.05）. There was no significant difference in bleeding rate after operation in patients between the two groups （P>0.05）. Conclusion The application of Bovine Basic Fibroblast Growth Factor applied after unipolar electrocoagulation tonsillectomy has a significant clinical effect， and the pain of patients after operation is significantly reduced， which is worthy of vigorous promotion and application in clinic.

[Key words] Unipolar electrocoagulation tonsillectomy; Bovine Basic Fibroblast Growth Factor; Clinical effect; Nursing experience

扁桃體疾病在耳鼻喉科中较为常见，可引发中耳炎、急慢性肾小球肾炎、心肌炎等严重并发症，一般治疗方式为手术摘除扁桃体。近年来出现了超声刀、单极电刀电凝、低温等离子刀等新型手术方式，研究发现单极电刀电凝能够缩短手术时间、减少术后出血[1]。传统的扁桃体切除术分为热切法和冷切法，单极电凝切除法和等离子消融切除法属于热切法，在临床应用更多，同时由于等离子刀头价格昂贵，导致基层医院应用单极电凝切除术更多。扁桃体术术后创面愈合不佳是导致术后恢复延长的主要原因之。……