摘要
目的:分析喉癌术后并发咽瘘的相关因素,总结预防喉癌术后并发咽瘘的护理措施。方法:回顾性分析2005年1月～2010年12月118例喉癌术后并发咽瘘患者的临床资料,对护理措施进行总结,提出相应的预防护理方法。结果:年龄小于60岁,病变在T2或T3期,营养状况良好,手术时间小于5.5 h及喉部分切除的喉癌患者并发咽瘘的几率少;颈部淋巴结清扫,术后出现咳嗽、感染、营养低下时并发咽瘘的几率增加。口腔冲洗能降低咽瘘的发生,中心负压吸引与咽瘘的发生无明显相关性。主要的预防护理有:熟悉病情,术前术后加强营养支持,做好家属的健康教育,做好口腔护理,防止感染,加强创面的引流,做好气管切开的护理,防止呛咳。结论:喉癌术后并发咽瘘与多种因素有关,积极做好术前、术后护理对降低喉癌术后咽瘘的发生及预后具有重要的意义。
Objectice： To analyze the related factors of pharyngeal fistula following laryngeal cancer surgey and summary the prevention nursing measures.Methods： The clinical data of 18 patients with pharyngeal fistula following laryngeal cancer were analyzed,and put forward the relevant prevention measures.Results：The factors which were the low probability include the age less than 60 years old,the disease in the stage of T2 or T3,good nutrition,the operation time less than 5.5 hours.and partial laryngectomy.The factors which could increased the occur rate include neck dissection,cough,infection and malnutrition after operation.Oral irrigator could reduce the occur of pharyngeal fistula.There was no obvious correlation between centric negative pressure aspirator and pharyngeal fistula.The main prevention measures include familiar with patient condition,nutritional supportal before and after operation,do well the family′s health education,oral care and tracheotomy care.Conclusion： Pharyngeal fistula following laryngeal cancer surgey was related with many factors,do well nursing before and after operation actively could reduce the occur of pharyngeal fistula.
出处
《护理实践与研究》
2012年第8期1-3,共3页
Nursing Practice and Research
关键词
喉癌
咽瘘
相关因素
Laryngeal cancer
Pharyngeal fistula
Related factors
