2023年5月第30卷第5期口服阿托品联合常规加压包扎处理在腮腺肿瘤患者术后的应用周芳芳，刘宇（河南科技大学第一附属医院口腔介入科，河南洛阳471000）【摘要】目的探讨口服阿托品联合常规加压包扎处理在腮腺肿瘤患者术后的应用效果。方法选取2019年1月至2021年12月在我院行腮腺肿瘤切除术的90例腮腺肿瘤患者，随机分为观察组和对照组各45例。对照组术后行常规加压包扎处理，观察组在对照组基础上口服阿托品。比较两组患者术后切口愈合情况及不良反应发生率。结果观察组术后24h引流量少于对照组，切口愈合时间短于对照组，术后14d美容效果评分高于对照组（P＜0．05）。观察组术后涎瘘、Frey综合征发生率均低于对照组（P＜0．05）。两组的眼压或心率异常发生率比较差异无统计学意义（P＞0．05）。结论口服阿托品联合常规加压包扎可加快腮腺肿瘤患者术后创口愈合，减少术后涎瘘、Frey综合征等不良反应的发生，值得临床推广。【关键词】腮腺肿瘤；阿托品；加压包扎；术后切口愈合；不良反应中图分类号：R739.87文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.05.0639ApplicationofOralAtropineCombinedwithRoutineCompressionBandaginginPatientswithParotidGlandTumorafterOperation//ZHOUFangfang,LIUYu(DepartmentofOralIntervention,theFirstAffiliatedHospitalofHe'nanUniversityofScienceandTechnology,Luoyang471000,China)[Abstract]ObjectiveToexploretheapplicationeffectoforalatropinecombinedwithroutinecompressionbandaginginpatientswithparotidglandtumorafteroperation.Methods90patientswithparotidglandtumorundergoingparotidglandtumorresectioninourhospitalfromJanuary2019toDecember2021wereselectedandrandomlydividedintoobservationgroupandcontrolgroup,with45casesineachgroup.Thecontrolgroupreceivedroutinecompressionbandagingafteroperation,andtheobservationgroupreceivedoralatropineonthebasisofthecontrolgroup.Thepostoperativewoundhealingandincidenceofadversereactionswerecomparedbetweenthetwogroups.ResultsThedrainagevolumeat24hoursafteroperationoftheobservationgroupwaslessthanthatofthecontrolgroup,thewoundhealingtimewasshorterthanthatofthecontrolgroup,andthecosmeticeffectscoreat14daysafteroperationwashigherthanthatofthecontrolgroup(P<0.05).Theincidencesofpostoperativesali...
