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目的:探讨在小儿腭裂手术中用冰冷敷对术后肿胀和疼痛的治疗效果。方法:80例全身麻醉下行腭裂修复术的患儿,随机分为2组,每组40例。第1组术中用冰,拔除气管导管前,用冰冷敷口腔创口;第2组为对照组,采用常规处理。术后观察2组患者疼痛以及肿胀程度、进食情况。应用SPSS13.0软件包对2组资料进行t检验和χ2检验。结果:术后第6、12、24、48、72 h,术中用冰组患者术后疼痛、肿胀程度及饮食与对照组差异均有统计学意义。结论:小儿腭裂手术中用冰冷敷口腔,对减轻术后口腔肿胀、疼痛和改善饮食有明显效果。
Objective: To investigate the therapeutic effect of postoperative swelling and pain in cold pediatric cleft palate surgery. Methods: Eighty children undergoing cleft palate repair under general anesthesia were randomly divided into two groups (n = 40 in each group). The first group of intraoperative use of ice, remove the tracheal catheter, cold mouth with oral cavity; the second group for the control group, the conventional treatment. Postoperative patients in two groups were observed pain and swelling, eating status. SPSS13.0 software package for the two groups of data t test and χ2 test. Results: At 6, 12, 24, 48 and 72 h after operation, postoperative pain, swelling and the differences between diet and control group were statistically significant. Conclusion: The application of icy cold in pediatric cleft palate surgery has obvious effect on relieving postoperative oral swelling, pain and improving diet.