喉癌及下咽癌术后并发咽瘘的原因分析及护理干预  

Reason analysis and nursing interventions of pharyngeal fistula in laryngeal and hypopharyngeal carcinoma

作　　者：王敏[1] 王翠[1] 蒋媛[1] 仲春梅[1] 

机构地区：[1]江苏省肿瘤医院头颈外科,江苏南京210009

出　　处：《实用临床医药杂志》2013年第A01期103-105,共3页Journal of Clinical Medicine in Practice

摘　　要：目的分析喉癌及下咽癌术后发生咽瘘的相关因素及护理干预。方法回顾本科10年来全喉及下咽切除术后发生9例咽瘘患者的临床资料，对护理措施进行总结，提出护理干预方法。结果咽瘘的发生与患者术前放化疗、肿瘤侵犯范围、术后感染等因素有关。结论术后并发咽瘘与多种因素相关，合理安排术前放疗、加强术前术后营养支持、口腔、切口及气道护理、预防感染等护理措施可减少咽瘘的发生。一旦发生咽瘘应采取积极护理干预措施，促进瘘口早日愈合，提高患者的生活质量。Objective To analyse the laryngeal and hypopharyngea! carcinoma related factors and nursing intervention of pharyngeal fistula. Methods Review the throat and stomach resection after 10 years the clinical data of 9 patients with pharyngeal fistula, to summarize nursing measures, put forward the nursing intervention methods. Results pharyngeal fistula was significantly associated with patients with preoperative chemoradiotherapy, scope of tumor invasion, postoperative infection and other factors. Conclusion Ccaused by pharyngeal fistula after related with many factors, reasonable arrangement of preoperative radiotherapy, strengthening preoperative nutritional support, oral cavity, postoperative incision, airway nursing and preventing infection nursing measures can reduce the occurrence of pharyngeal fistula. Active nursing intervention measures should be taken in the event of pharyngeal fistula, promote fistula healing as soon as possible, improve the quality of life of the patients.

关 键 词：喉癌 咽癌 护理 

分 类 号：R473.6[医药卫生—护理学]