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30例下咽癌围手术期整体护理体会

30 Example Lower Pharynx Cancer Encircles Surgery Time Whole Nursing
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摘要 目的:配合临床外科手术治疗下咽癌,开展针对性的下咽癌围手术期护理,总结护理经验。方法:以头颈外科整体护理为基础,针对下咽癌独特的临床特点,开展下咽癌针对性特色护理,从术前到术后,从常规准备、加强口腔护理、康复训练到重点进行的心理护理、营养支持及并发症护理等各个环节均有完善的护理措施。结果:所有患者术后5~7天拆线;5例患者并发咽瘘,于加强换药及基础护理后或二期咽瘘修复术后愈合;全部病人恢复下咽功能,实现从口腔进食,其中9例患者出现轻至中度呛咳,4例经饮食训练,5例应用带气囊气管套管后正常进食;25例喉重建患者恢复全部或部分喉功能,发音流利清楚,声音略嘶哑,但不影响日常语言交流。结论:围手术期护理是下咽癌患者外科治疗过程中极为重要的一个环节,良好的护理对于下咽癌患者的康复有极其重要的作用。 Objective:Coordinates the clinical surgery surgery to treat the lower pharynx cancer,launches the pointed lower pharynx cancer to encircle surgery time nursing,summarizes the nursing experience.Methods:Take neck surgical department whole nursing as the foundation,in view of the lower pharynx cancer unique clinical characteristic,carries out lower pharynx cancer pointed characteristic nursing,from the technique after the technique,from the conventional preparation,enhancement oral cavity nursing,the recovery trains to psychological nursing,the nutrition support and complication nursing which carries on with emphasis and so on each link has the consummation nursing measure.Results:All patient technique latter 5~7 days opens the line;5 example patients swallow the fistula concurrently,trades the medicine and foundation nursing or two issues after the enhancement swallows the fistula prosthesis to heal;The complete patient restores the lower pharynx function,realizes from the oral cavity feed,9 example patient appears moderate to chokes lightly coughs,4 examples after diet training,5 example application belt aerocyst trachea drive pipe normal feed;25 example throats reconstruct the patient to restore completely or the partial throat function,the pronunciation fluent clear,sound slightly hoarse,but does not affect the daily language exchange.Conclusion:Encircles surgery time nursing is the lower pharynx cancer patient surgical treatment process is an extremely important link,good nursing has and the vital role regarding the lower pharynx cancer patient's recovery.
作者 马影蕊 MA Ying-rui(Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shanyang 110032,Liaoning,China)
出处 《辽宁中医药大学学报》 CAS 2010年第11期200-202,共3页 Journal of Liaoning University of Traditional Chinese Medicine
关键词 下咽癌 围手术期 护理 lower pharynx cancer sncircles the surgery time nursing
作者简介 马影蕊(1974-),女,河北人,主管护师,学士,主要从事耳鼻喉科护理工作。
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参考文献3

  • 1樊忠,王天铎主编..实用耳鼻咽喉科学[M].济南:山东科学技术出版社,1997:1110.
  • 2王苏莉,王风玲,.喉手术的护理进展[J].中华护理杂志,1997,32(2):117-119. 被引量:26
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