低温中药口腔喷雾对全麻手术患者拔管后口渴症状的影响研究

doi:10.3761/j.issn.2096-7446.2025.01.005

Abstract

Abstract:

Objective To investigate the application effect of low-temperature traditional Chinese medicine oral spray in patients undergoing extubation after general anesthesia，and to provide a basis for developing effective strategies for managing thirst. Methods A total of 126 patients undergoing general anesthesia surgery at a Grade A Class III traditional Chinese medicine hospital in Zhejiang Province from January 2023 to August 2023 were selected and divided into three groups using the excel random number method，with 42 cases in each group. Group A received low-temperature Chinese medicine oral spray（2-8 ℃） after extubation，while group B received normal temperature Chinese medicine oral spray（20-24 ℃） after extubation. Group C was treated with low temperature sterilized water for injection oral spray（2-8 ℃） after extubation. Thirst-related indexes of the three groups were observed at 5 minutes before extubation（T0），30 minutes after extubation（T1），60 minutes after extubation（T2），and 180 minutes after extubation（T3）. Results There were no significant differences in thirst scores，lip and tongue oral mucosal moistness score，and unstimulated whole saliva among the three groups at T0 （all P>0.05）. The main effects among groups and time were statistically significant（both P<0.001），with an interaction effect between groups and time also being observed（P<0.001）. There was no significant difference in thirst score or lip and tongue oral mucosal moistness score between group A and group C at T1，T2，T3 or before/after intervention changes（P>0.05），but there was a significant difference between A/B and B/C groups（P<0.05）. The differences in unstimulated whole saliva at T1，T2，and T3 as well as before/after intervention among the three groups were statistically significant（all P<0.05）. Conclusion Low temperature traditional Chinese medicine oral spray can increase unstimulated whole saliva compared to normal temperature traditional Chinese medicine oral spray or low temperature sterilized water for injection oral spray. It is suggested that clinical nursing staff should advance the intervention time on the premise of ensuring safety so as to relieve patients’ thirst and other discomfort experience as soon as possible.

Key words: General Anesthesia, Thirst, Oral Spray, Low-Temperature Traditional Chinese Medicine, Intensive Care Unit, Traditional Chinese Medicine Nursing

ZHENG Yi, XU Min, WANG Lanfang, WANG Yuanyuan, RUAN Longjuan, ZHENG Chunmei, HUANG Yeping. Study on the effect of low-temperature traditional Chinese medicine oral spray on thirst symptoms after extubation in patients undergoing general anesthesia surgery[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(1): 37-42.

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Study on the effect of low-temperature traditional Chinese medicine oral spray on thirst symptoms after extubation in patients undergoing general anesthesia surgery

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