喉癌手术患者使用胃管的干扰因素分析及护理对策  

Analysis of the interference factors of indwelling gastric tube and nursing countermeasure for pa- tients undergoing laryngeal cancer surgery

作　　者：张洪芬[1] 左玉琴[1] 张月玲[1] 

机构地区：[1]山东省滨州市人民医院,256610

出　　处：《中国实用护理杂志》2012年第20期13-15,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨喉癌手术患者胃管使用的干扰因素，结合临床提出相应的护理对策。方法选取我院60例胃管使用患者，随机分为对照组与观察组各30例。对照组对胃管仅常规使用，观察组全部病例均通过分析胃管使用的影响因素，及时采用了相应的对策。对2组患者的满意度、术后并发症情况、住院时间、治愈率等进行统计分析。结果影响患者正常使用胃管的原因有自行拔管、脱管、堵管、术后并发症等因素，经过及时的对症处理和积极护理，均未影响患者的营养摄人和术后恢复。观察组各项指标均优于对照组。结论喉癌手术患者胃管需停留的时间较长，要保证胃管的正常使用，达到治疗效果，就需要加强对患者的宣教，密切观察患者反应，及时对症处理。Objective To investigate the interference causes of indwelling gastric tube for patients un- dergoing laryngeal tumor surgery, and explore the appropriate clinical nursing countermeasures. Methods cases of laryngeal cancer patients with indwelling gastric tube were divided into the control group and the observation group with 30 cases in each group. The control group used indwelling gastric tube with routine nursing, while in the observation group, the influencing factors for indwelling gastric tube were analyzed and pertinent measures were adopted timely. The satisfaction degree of patients, incidence of postoperative compli-cations, hospitalization time and effective rate of treatment were compared. Results The factors influ-encing use of indwelling gastric tube were tracheal extubation by patients, trachea cannula exodus, pipe blockage and postoperative complications. After timely expectant treatment and positive nursing, the nutri-tion intake and postoperative recovery were not affected. The related indexes of the observation group were better than those of the control group. Conclusions Patients after laryngeal cancer surgery need long- time indwelling gastric tube. Measures such as strengthening of education and propaganda, close observation of patients＇ condition and timely expectant treatment should be given in order to ensure the normal use of gastric tube and reach desirable treatment effect.

关 键 词：喉癌手术 胃管 干扰原因 护理对策 

分 类 号：R473.73[医药卫生—护理学]