护士指导鼻饲进食对喉部分切除术后误咽的影响  

Effects of nurse guided nasal feeding on aspiration after partial laryngectomy

作　　者：黄佳明[1] 高娇[1] 

机构地区：[1]中国医科大学附属第一医院耳鼻咽喉科,110001

出　　处：《辽宁医学杂志》2013年第3期113-114,共2页Medical Journal of Liaoning

摘　　要：目的探讨护士有效指导鼻饲进食在防止喉部分切除术后发生误咽的应用体会。方法收集中国医科大学附属第一医院耳鼻咽喉科于2009～2011年收治的喉癌627例患者中的100例,随机分为干预组50例术后在护士有效指导下鼻饲进食7天,经口进软食无误咽后拔除胃管。对照组50例未经过护士指导鼻饲进食,术后鼻饲进食7天,拔除胃管直接经口进半流质饮食。结果干预组患者误咽程度明显低于对照组,(P<0.05)。结论护士指导鼻饲进食对喉部分切除术减少误咽是有效的。Objective To explore the effective guidance of nasal feeding in preventing after partial laryngectomy for application of aspiration and experience. Methods Department of otolaryngology, the first affiliated hospital of china medical university form 2009-2011 collected a total of 627 cases of laryngeal cancer patients, 50 patients in the intervention group after operation in the nurse effectively under the guidance of nasal feeding for 7 days, with a soft diet and correct retro pharyngeal extubation, 50 cases in the control group without guidance of nurse feeding in- to food, postoperative nasal feeding for 7 days extubation,direct oral into semi-liquid diet. Results Patients in the intervention group was significantly lower than that of the control group of aspiration, （ P〈0.05）. Conclusions The nurse guidance of nasal feeding on partial laryngectomy reduce aspiration is effective.

关 键 词：喉部分切除术 误咽 鼻饲 流食 

分 类 号：R473.73[医药卫生—护理学]