增加吞咽功能筛查频次对减少桥小脑角肿瘤患者手术后吸入性肺炎的作用  

Reducing the risk of inspiration pneumonia by increasing the frequency of swallowing function screening after cerebellopontine angle tumor resection

作　　者：任琳[1] 郎黎薇[2] 殷志雯[1] 

机构地区：[1]复旦大学附属华山医院神经外科,上海市200040 [2]复旦大学附属华山医院护理部,上海市200040

出　　处：《中华护理杂志》2014年第3期284-286,共3页Chinese Journal of Nursing

基　　金：复旦大学护理专项科研基金项目(编号:FNF201222)

摘　　要：目的观察增加吞咽功能的筛查频次对预防桥小脑角肿瘤患者术后吸入性肺炎的效果。方法将168例桥小脑角肿瘤患者随机分为观察组与对照组各84例。观察组术后第1—7天每天筛查吞咽功能1次．对照组术后第1天筛查吞咽功能1次．观察两组患者吞咽功能障碍的检出率与吸入性肺炎的发生率。结果观察组吞咽功能异常及功能障碍的检出率均高于对照组，差异具有统计学意义（P〈0.05）。观察组吸入性肺炎的发生率低于对照组，差异具有统计学意义（P〈0.05）。结论对于桥小脑角肿瘤的手术患者，术后增加吞咽功能的筛查频次，能提高吞咽障碍的检出率．根据患者吞咽功能状态给予相应的饮食护理干预，可减少因饮水呛咳与食物误吸而引起的吸入性肺炎的发生率。Objective To evaluate the effect of increasing the frequency of swallowing function screening on the reduction of risk of inspiration pneumonia after cerebellopontine angle tumor resection. Methods Totally 168 cere- bellopontine angle tumor patients were randomly divided into two groups, 84 in each group. The patients in the experimental group received Watian drinking water test once a day within the first week after operation. The patients in the control group received Watian drinking water test only at the first day after operation. The incidences of dysphagia and aspiration pneumonia were compared between the two groups. Results The incidence of dysphagia in the experimental group was significantly higher than that in the control group（P〈0.05）,while the incidence of aspiration pneumonia in the experimental group was lower than that in the control group（P〈0.05）. Conclusion For cerebellopontine angle tumor patients,increasing the frequency of swallowing function screening after operation is valuable to detect dysphagia timely and provide targeted interventions to decrease the incidence of aspiration pneumonia.

关 键 词：脑肿瘤 小脑脑桥角 吞咽障碍 肺炎 吸入性 洼田氏饮水试验 

分 类 号：R473.73[医药卫生—护理学]