普米克令舒雾化吸入对早期声带癌CO_2激光术后影响

目的:观察早期声带癌患者CO2激光手术后应用普米克令舒雾化吸入治疗的临床效果。方法:将CO2激光喉早期声带癌显微手术后患者120例随机分成2组,其中实验组60例应用普米克令舒雾化吸入,每日2次,每次1 mg;对照组60例采用地塞米松5 mg,庆大霉素8万u,糜蛋白酶4000u日2次混合雾化吸入,同时使用7天,对比2组术后呼吸困难、粘膜水肿、发热、声嘶、疼痛等发生情况效果。结果:实验组的患者,术后愈复天数、呼吸困难及咳嗽发生率明显低于对照组,差异有显著性意义(P0.05),而术后发热情况及声音嘶哑情况二者无明显差异(P0.05)。结论:普米克令舒雾化吸入能有效缩短喉CO2激光显微外科手术患者的痊愈时间。

The Effect of Nebulized Pulmieort Respules on Early Vcal Cord Carcinoma Patients after CO2 Laser Microsurgery

Objective:To investigate the clinical effect of nebulized pulmieort respules after CO2 laser microsurgery.Methods:After CO2 laser microsurgery laryngeal early vocal cord carcinoma, 120 cases of patients were randomly divided into 2 groups, the experimental group with 60 cases applied at pulmieort atomization inhalation 2 times a day, and control group with 60 patients with dexamethasone 5 mg, gentamicin 80000 u and chymotrypsin 4000 u mixing atomization inhalation used at the same time for 7 days. The effect of the two groups after operation, postoperative dyspnea, mucosal edema, fever and pain were compared.Results:In the experimental group, postoperative healing after days, the risk of dyspnea and cough were obviously lower than that in the control group, with significant differences (P < 0.05), while the postoperative fever and hoarse with no significant difference (P > 0.05).Conclusion:Pulmieort respules can effectively shorten the recovery time of CO2 laser microsurgery.