舌癌切除并行皮瓣修复术患者的围手术期护理  

作　　者：徐青雪[1] 

机构地区：[1]哈尔滨医科大学附属第一临床医学院,150001

出　　处：《中国实用护理杂志》2012年第31期8-10,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨舌癌切除并行皮瓣修复术患者的围手术期护理措施。方法对收治的36例舌癌患者均行舌原发灶、口底、颈淋巴结连续整块切除联合游离皮瓣转移修复术治疗，并在术前、术中及术后实施针对性护理措施。结果患者出院后6个月咀嚼功能与出院时比较明显改善，且有差异，出院后6个月误咽发生率较出院时明显降低，出院后6个月语言功能与出院时比较明显改善。36例患者的uw—QOL生存质量评分为320～1200分，平均得分（960．21±146．84）分。其中得分最高的项目为疼痛，其次是焦虑，最低的是唾液。结论对行切除并行皮瓣修复术治疗的舌癌患者在围手术期实施有效的护理方法至关重要，是提高患者生存质量的重要保证。Objective To investigate the skin flap in the repair of tongue cancer resection surgery and perioperative nursing measures.Methods 36 patients with tongue cancer undergoing resection of primary lesion of tongue,floor of the mouth,the cervical lymph node in combination with free flap transfer for repair,and during the preoperative,intraoperative and postoperative period nursing measures were implemented.Results The masticatory function,aspiration rate and functions of language of patients 6months after discharge showed obvious improvement compared with those upon discharge.The difference was statistically significant.The UW-QOL quality of life score ranged from 320 to 1200 points,with an average score of (960.21 +146.84)points.One of the highest scoring items was pain,followed by anxiety,saliva was the lowest.Conclusions For patients with tongue cancer undergoing resection and skin flap repair,nursing methods are very important,which were the guarantee of improving the quality of life of patients.

关 键 词：舌癌 切除 皮瓣修复术 围手术期护理 

分 类 号：R473.73[医药卫生—护理学]