不同进食方式对女性口内径路下颌角截骨术后康复的影响  

The influence of different eating ways on the postoperative rehabilitation of female patients with the operation of mandibular angle osteotomy of inside oral cavity

作　　者：庄雷岚[1] 卞薇薇[1] 董文静 Zhuang Leilan;Bian Weiwei;Dong Wenjing(Reconstructive Surgery of the Ninth People′s Hospital Affiliated to Shanghai Jiaotong University,School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院整复外科,200011

出　　处：《中国实用护理杂志》2019年第36期2832-2835,共4页Chinese Journal of Practical Nursing

基　　金：上海市教育委员会护理高原学科建设项目(Hlgy1855qnhb)。

摘　　要：目的研究不同进食方式对口内径路下颌角截骨术后患者康复的影响.方法采用便利抽样的方法,选取于2017年1-12月在我院整复外科行口内径路下颌角截骨术的患者50例,按住院的先后顺序排号,单数作为口食组(术后麻醉清醒6 h后用注射器接4~5 cm皮管喂流食法),双数作为鼻饲组(术中置入胃管,术后全麻清醒6 h至术后5 d均给予鼻饲饮食),每组患者各25例.采用自制观察量表评估2组患者情况,包括体质量变化、伤口引流总量、口腔伤口分泌物情况、呛咳次数以及进食舒适感,并对2组进行比较.结果在体质量方面,鼻饲组减轻了(2.19±0.48)kg,而口食组减轻了(5.78±0.58)kg,差异有统计学意义(t=23.870,P<0.01);伤口引流量方面,鼻饲组为(38.00±11.00)ml,口食组为(65.00±13.00)ml,差异有统计学意义(t=7.927,P<0.01);而在呛咳及口腔伤口分泌物方面,鼻饲组分别为16%(4/25)、44%(11/25),明显优于口食组44%(11/25)、76%(19/25),差异有统计学意义(χ^2=4.667、5.333,P<0.05);2组患者在进食舒适感方面差异无统计学意义(χ^2=0.764,P>0.05).结论口内径路下颌角截骨术后采用鼻饲法能提高患者康复质量,值得临床推广.Objective Researching the influence on patients with different eating ways after the operation of mandibular angle osteotomy of inside oral cavity.Method By using the method of convenience sampling,50 patients were chosen who had operation of mandibular angle osteotomy of inside oral cavity in orthopedic surgery department of our hospital from January 2017 to December 2017 and the number was arranged according to the order of hospitalization.Patients with singular member were divided into the month feeding group(liquid diet were fed with the injection syringe which linked leather hose of 4-5cm after 6 hours awakening after general anesthesia in operation);patients with even number were divided into the nasal feeding group(stomach tube was put in the operation and nasal feeding was provided after 6 hours awakening after general anesthesia in operation and 5 hours after the operation).In every group,there were 25 patients.Observation scale which was made by themselves was used to evaluate the patients in the two groups and comparison for difference was made in the two groups,including weight change,wound drainage amount,oral wound secretion,the aspects of choke and cough,and the comfortable sensation of eating.Results For weight,in nasal feeding group,(2.19±0.48)kg were reduced and in month feeding group,(5.78±0.58)kg were reduced;the difference had the statistical significance(t=23.870,P<0.05).For wound drainage amount,in nasal feeding group,the number was(38.00±11.00)ml and in month feeding group,the number was(65.00±13.00)ml,the difference was statistically significant(t=7.927,P<0.01).In the aspects of choke and cough,and wound secreta in oral cavity,in nasal feeding group,the number were 16%(4/25)and 44%(11/25)respectively which was superior to the month feeding group with the number of 44%(11/25)and 76%(19/25),the difference had the statistical significance(χ^2=4.667,5.333,P<0.05).For the comfortable sensation of eating,in the two groups,there was no significant statistical difference(χ^2=0.764,P>0.05).C

关 键 词：进食方式 口内径路 下颌角截骨术 术后康复 

分 类 号：R47[医药卫生—护理学]