目的

探讨持续口腔湿润技术在消化道出血患者围术期继发性口渴中的应用效果。

方法

采用便利抽样法，选取2022 年1 月至2023 年6 月江阴市人民医院收治的68 例清醒的消化道出血患者，采用随机数字表法将其分为对照组和试验组，各34 例。对照组采用常温饮用水喷雾干预，试验组采用自制一次性润唇装置进行持续口腔湿润干预，收集并比较2 组患者干预前后的口渴强度评分、口渴痛苦程度、口腔舒适度及满意度的差异。

结果

试验组干预后6、12 h 患者的口渴强度评分分别为（4.88±1.297）、（3.12±1.200）分，低于对照组的（6.35±1.515）、（5.41±1.234）分，差异有统计学意义（P ＜0.001）；试验组干预后6、12 h 患者的口渴痛苦程度分别为（22.50±1.441）、（17.15±2.476）分，低于对照组的（25.41±2.002）、（23.88±1.966）分，差异有统计学意义（P ＜0.001）；试验组干预后6、12 h 患者的口腔舒适度均高于对照组，差异有统计学意义（P ＜0.001）；试验组干预后患者满意度（97.1%）高于对照组（91.2%），差异有统计学意义（χ²=11.769，P=0.003）。

结论

本研究自制口腔湿润装置，采用创新的持续口腔湿润技术来缓解消化道出血患者围术期继发性口渴的症状，提高患者口腔舒适度，提升患者就医体验，值得临床推广。

Objective

To investigate the effect of continuous oral wetting technique on secondary thirst in patients with gastrointestinal hemorrhage during perioperative period.

Methods

A total of 68 sober patients with upper gastrointestinal hemorrhage admitted to our hospital from January 2022 to June 2023 were selected by convenience sampling method， and were divided into control group and experimental group by random number table method， with 34 cases in each group.The control group was treated with room temperature drinking water spray intervention， and the experimental group was treated with self-made one-time lip moistening device for continuous oral moistening intervention.Differences in scores of thirst intensity， degree of thirst pain， oral comfort and satisfaction before and after intervention were collected and compared between the two groups.

Results

The scores of thirst intensity at 6 and 12h after intervention in the experimental group were （4.88±1.297） and （3.12±1.200） points， respectively， which were lower than those of the control group （6.35±1.515） and （5.41±1.234） points， and the difference was statistically significant （P＜0.001）.The pain degree of thirst at 6 and 12 h after intervention in the experimental group was （22.50±1.441） and（17.15±2.476） points， respectively， lower than that in control group （25.41±2.002） and （23.88±1.966） points，and the difference was statistically significant （P＜0.001）.The oral comfort level of patients in the experimental group at 6 and 12h after intervention was higher than that of the control group， and the difference was statistically significant （P＜0.001）.After intervention， the satisfaction in the experimental group （97.1%）was higher than that in the control group （91.2%）， and the difference was statistically significant （χ²=11.769，P=0.003）.

Conclusion

In this study， a self-made oral moistening device was used to alleviate perioperative secondary thirst in patients with gastrointestinal bleeding by using innovative continuous oral wetting technology， improve oral comfort and medical experience of patients， and is worthy of clinical promotion.