口腔癌联合根治术后并发肺部感染的预防及护理  

Prevention and nursing of pulmonary infection in post- operative patients with oral cancer resection

作　　者：黄秋雨[1] 安娜[1] 叶菁菁[1] 张伟娜[1] 苏华凤 何杏芳[1] 王剑宁[1] 

机构地区：[1]中山大学光华口腔医学院·附属口腔医院,广东省口腔医学重点实验室,广州510055

出　　处：《中华口腔医学研究杂志（电子版）》2016年第2期140-143,共4页Chinese Journal of Stomatological Research(Electronic Edition)

基　　金：广东省科技计划(2014A020212437,2015A020210040)

摘　　要：探讨口腔癌联合根治术后并发肺部感染的防治及护理经验。护理重点包括:(1)完善术前准备,充分做好牙周洁治,处理患牙;(2)术前、术后做好呼吸道的管理,术前进行呼吸功能锻炼,指导患者有效咳嗽咳痰方法;(3)术后加强气道的管理,合理使用抗生素,使用带气囊气管套管,及有效气道的湿化、雾化吸入协助排痰;(4)加强鼻饲护理,防止胃食管返流误吸,加强口腔卫生及全身营养支持治疗。本组131例口腔癌修复重建患者术后5例并发肺部感染,感染率为3.82%,经积极处理后均痊愈出院,无手术相关死亡病例。This study is to analyze the etiologic factors and to summarize the experience in nursing patients with pulmonary infection after resection of oral cancer. Good preoperative preparation,such as periodontal scaling and teeth treatment,respiratory management before and after operation,preoperative respiratory function exercise,guidance on effective cough and expectoration,improvement on pre-and postoperative airway management,correct and rational use of antibiotics,trachea cannula utilization with air bag,humidification of airway,atomization inhalation for expectoration,and improvement of nasal feeding to avoid gastroesophageal reflux or aspiration are key points. One hundred and thirty-one cases of oral cancer surgery and reconstruction were included in this study. Five patients（3.82%）suffered from pulmonary infection. All of them recovered after appropriated treatment.

关 键 词：口腔癌 根治术 术后并发症 肺部感染 护理 

分 类 号：R473.73[医药卫生—护理学]