预见性护理在食管癌术后喉返神经损伤患者中作用  

The role of predictive nursing in esophageal cancer patients with recurrent laryngeal nerve injury after esophagectomy

作　　者：周秀芳[1] 吴敏清[1] 孟君[1] 刘东英[2] 

机构地区：[1]河南省肿瘤医院(郑州大学附属肿瘤医院)胸外科,郑州450008 [2]河南省肿瘤医院(郑州大学附属肿瘤医院)护理部,郑州450008

出　　处：《中国实用神经疾病杂志》2015年第1期134-135,共2页Chinese Journal of Practical Nervous Diseases

基　　金：郑州大学附属肿瘤医院院级课题(编号2009001)

摘　　要：目的观察食管癌术后喉返神经损伤患者预见性护理干预后的并发症发生情况,探讨其护理效果。方法选择2012-02—2014-02食管癌术后发生喉返神经损伤的35例患者为观察组,选择2010-01—2012-01食管癌术后发生喉返神经损伤的36例为对照组。对照组采用胸外科护理常规方案,观察组则在常规护理基础上,采取对食管癌术后喉返神经损伤并发症预见性护理,对围手术期进行管理。结果观察组肺炎、窒息发生率均较对照组低,差异有统计学意义(P<0.05)。结论食管癌术后喉返神经损伤患者经预见性护理,可降低食管癌术后喉返神经损伤患者肺炎、窒息并发症,使患者安全渡过围手术期。Objective To investigate the role of predictive nursing in esophageal cancer patients with recurrent laryngeal nerve injury after esophagectomy,and to observe the effect of predictive nursing. Methods 36 esophageal cancer patients with recurrent laryngeal nerve injury after esophagectomy from January 2010 to January 2012 were considered as control group （treated with routine nursing care） ,and 36 esophageal cancer patients with recurrent laryngeal nerve injury after esophageetomy from February 2012 to February 2014 were considered as observation group （treated with routine nursing care plus predictive nursing）. Results The incidence of pneumonia and asphyxia in the observation group was significantly lower than that in control group（P〈0. 05）. Conclusion The predictive nursing can significantly lower the incidence of pneumonia and asphyxia of esophageal cancer patients with recurrent laryngeal nerve iniury after esophagectomy,and help these patients to go through perioperative period safely.

关 键 词：食管癌 喉返神经损伤 预见性护理 术后并发症 

分 类 号：R473.74[医药卫生—护理学]