泡沫敷料在喉癌全/部分切除术后造瘘口维护中的应用  

Application Effect of Foam Dressing in Fistula Maintenance After Total/Partial Resection of Laryngeal Cancer

作　　者：颜少观[1] 何静 郭巧玲[1] YAN Shaoguan;HE Jing;GUO Qiaoling(Department of Otolaryngology,Head and Neck Surgery,the First Affiliated Hospital of Xiamen University,Xiamen Fujian 361003,China)

机构地区：[1]厦门大学附属第一医院耳鼻咽喉头颈外科,福建厦门361003

出　　处：《中国卫生标准管理》2023年第17期186-189,共4页China Health Standard Management

基　　金：福建省自然科学基金项目(2020J011225)。

摘　　要：目的 探析采用泡沫敷料对喉癌患者全/部分切除术后造瘘口进行维护的应用效果。方法 选取2021年8月—2022年7月于厦门大学附属第一医院行喉癌全/部分切除术治疗并行造瘘口的患者90例,采用随机数字法将其分为两组,每组各45例。常规组采用常规换药,试验组采用泡沫敷料换药。对比分析两组患者术后造口愈合时间、换药次数及总费用、干预前后舒适度评分、造瘘口感染率、不良反应发生情况及满意度。结果 试验组的造口愈合时间短于常规组,术后7 d换药次数少于常规组,造瘘口感染率低于常规组(P <0.05)。试验组的换药总费用与常规组比较,差异无统计学意义(P> 0.05)。干预后试验组的舒适度评分为(7.48±2.49)分,低于常规组的(9.68±3.25)分(t=3.605,P <0.05)。试验组患者造瘘口处不良反应总发生率为2.22%,低于常规组的17.78%,差异有统计学意义(P <0.05)。试验组的总满意度为95.56%,高于常规组的77.78%,差异有统计学意义(P <0.05)。结论 采用泡沫敷料对喉癌患者全/部分切除术后造瘘口进行维护可有效促进造口愈合,减少换药次数,降低不良反应发生率和造瘘口感染率,提升患者舒适度和满意度,临床应用价值较高。Objective To explore the application effect of foam dressing on fistula maintenance in patients with laryngeal cancer after total/partial resection.Methods A total of 90 patients who received total/partial resection for laryngeal cancer combined with fistula in the First Affiliated Hospital of Xiamen University from August 2021 to July 2022 were selected and divided into two groups with 45 cases in each group by random number method.Conventional dressing was used in the conventional group and foam dressing was used in the experimental group.Postoperative ostomy healing time,dressing change times and total cost,comfort score before and after intervention,fistula infection rate,occurrence of adverse reactions and satisfaction were compared between the two groups.Results The ostomy healing time of experimental group was shorter than that of conventional group,the dressing change times of postoperative 7 d was less than that of conventional group,and the infection rate of stoma fistula was lower than that of conventional group(P<0.05).The total cost of dressing change in experimental group was compared with that in conventional group(P>0.05).After intervention,the comfort score of experimental group(7.48±2.49) points was lower than that of conventional group(9.68±3.25) points(t =3.605,P<0.05).The total incidence of adverse reactions at stoma fistula in experimental group was 2.22%,lower than that in conventional group(17.78%),the difference was statistically significant(P<0.05).The total satisfaction of experimental group was 95.56%,which was higher than that of conventional group(77.78%),the difference was statistically significant(P<0.05).Conclusion The use of foam dressing to maintain the stoma of laryngeal cancer patients after total/partial resection can effectively promote the healing of stoma,reduce the dressing times,reduce the incidence of adverse reactions and stoma infection rate,improve the comfort and satisfaction of patients,and have high clinical application value.

关 键 词：泡沫敷料 喉癌全部切除术 喉癌部分切除术 造瘘口维护 造口愈合时间 换药次数 造瘘口感染 

分 类 号：R473[医药卫生—护理学]