综合干预模式对早期喉癌术后患者围手术期及术后并发症的影响  

Effect of comprehensive interventionon perioperative variables and postoperative complications of patients with early-stage laryngeal cancer

作　　者：陈颖[1] 张洪梅[1] 韩颖学[1] 马晓萍[1] 张莹[1] 李墅 CHEN Ying;ZHANG Hongmei;HAN Yingxue;MAXiaoping;ZHANG Ying;LI Shu(Department of Otolaryngology,the 2nd Affiliated Hospital of Harbin Medical University,Harbin 150086,Heilongjiang,China)

机构地区：[1]哈尔滨医科大学附属第二医院耳鼻喉科,哈尔滨1500860

出　　处：《癌症进展》2020年第13期1392-1395,共4页Oncology Progress

摘　　要：目的探讨综合干预模式对早期喉癌患者术后并发症及围手术期的影响。方法根据干预方式的不同将88例早期喉癌术后患者分为观察组(接受综合干预)和对照组(接受常规干预),各44例。比较两组患者的术后并发症发生率、心理应激水平、生活质量和吞咽功能。结果观察组患者的术后并发症发生率低于对照组(P<0.05)。干预后,观察组的抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均明显低于对照组(P<0.01);干预后,观察组社会功能、心理功能、生理功能和躯体功能维度的评分均明显高于对照组(P<0.01);干预后,观察组患者的吞咽相关生存质量量表(SWAL-QOL)得分明显高于对照组(P<0.01)。结论综合干预模式可明显降低早期喉癌患者术后并发症的发生率,减轻围手术期应激反应,改善生活质量和吞咽功能,值得临床重视。Objective To investigate the effect of comprehensive intervention on postoperative complications and perioperative variables of patients with early-stage laryngeal cancer.Method A total of 88 patients with early-stage laryngeal cancer were assigned as observation group or control group according to their distinguished interventions.The observation group received comprehensive intervention while the control group received conventional intervention,and each group contained 44 patients.The rate of postoperative complications,psychological stress level,quality of life and swallowing function were compared between the two groups.Result The incidence rate of postoperative complications in observation group was significantly lower than that in control group,and the differences were statistically significant(P<0.05).The self-rating depression scale(SDS) and self-rating anxiety scale(SAS) scores in observation group were lower than those in control group after intervention,and the differences were statistically significant(P<0.05).The scores of social function,psychological function,physiological function and physical function in observation group were significantly higher than those in the control group with statistically significant differences after intervention(P<0.01).The swallowing-related quality of life(SWAL-QOL) score of the observation group was significantly higher than that of the control group after intervention,and the differences were statistically significant(P<0.01).Conclusion Comprehensive intervention could remarkably reduce the incidence of postoperative complications of early-stage laryngeal cancer patients,diminish perioperative stress response,improve the quality of life and swallowing function,which is worthy of clinical attention.

关 键 词：早期喉癌 综合干预 术后并发症 心理应激 生活质量 吞咽功能 

分 类 号：R739.65[医药卫生—肿瘤]