Postoperative dysphagia after anterior cervical surgery is characterized by mild symptoms such as throat pain and discomfort, difficulty in swallowing food, and choking when drinking water. Severe cases may present with complete inability to swallow and a foreign body sensation in the throat. The mild form of this condition can affect the patient's early postoperative diet, leading to malnutrition
Conditions
Interventions
The ice application combined with low-temperature nebulization group:Apply an ice pack to the neck for cold compress and inhale budesonide suspension at 8 degrees through nebulization.
Low-temperature atomization group:Inhalation of 80 micrograms of budesonide suspension by nebulization
Ice application group:Apply an ice pack to the neck for cold compress
Ambient temperature atomization group:Aerosol inhalation of budesonide suspension at room temperature
Healthy Volunteers:The chain like gel ice bag was wrapped with sterile towel in the frozen ice sand state, and then fixed on the front of the volunteer's neck. Ice was applied for 30 minutes.
Sponsors
Peking University Shenzhen Hospital
Eligibility
Sex/Gender
All
Age
35 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Patients who underwent anterior cervical spine surgery at the Spine Surgery Department of Peking University Shenzhen Hospital within two years after ethical approval. 2. Meet the criteria for postoperative dysphagia; 3. Patients with cervical spondylosis aged between 35 and 65 years old, regardless of gender. 4. Patients who signed the informed consent form and had good compliance. 5. There were no abnormalities in the mouth, pharynx, nose and trachea.
Exclusion criteria
Exclusion criteria: 1.Exclusion criteriafor patients:(1)Serious cardiovascular diseases: such as heart failure, severe hypertension, etc. (2)chronic obstructive pulmonary disease. (3)History of asthma. (4)There was difficulty in swallowing before the operation. (5)With severe psychological, mental or cognitive function disorders and other diseases. (6)Patients with malignant esophageal cancer, a history of stroke, or those in critical condition. (7)People allergic to cold. (8)pregnant woman. 2.Exclusion criteria for healthy volunteers:(1)Those with broken skin and redness or swelling on the surface. (2)People allergic to cold. (3)People with other skin diseases. (4)Women during their menstrual period. (5)Those with infection and fever. (6)People with underlying diseases.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The severity of dysphagia;The incidence of dysphagia; | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain score during swallowing;Drainage volume from the incision;comfort level;Incidence of wound-related complications;The increase or decrease rates of relevant inflammatory and nutritional indicators; | — |
Countries
China
Contacts
Public ContactWang Ling
Peking University Shenzhen Hospital
Outcome results
None listed