改良式加压包扎预防腮腺良性肿瘤切除术患者术后涎瘘的效果评价  

Effect evaluation of modifi ed compression bandaging for preventing salivary fistulas after resection in patients with benign parotid tumors

作　　者：陆娟 秦玲 潘旭 周燕 方怡 LU Juan;QIN Ling;PAN Xu;ZHOU Yan;FANG Yi(Yancheng First Hospital Affiliated of Nanjing Medical University,Yancheng 224001,China)

机构地区：[1]南京大学医学院附属盐城第一医院,江苏省盐城市224001

出　　处：《护理实践与研究》2024年第7期988-993,共6页Nursing Practice and Research

摘　　要：目的分析腮腺良性肿瘤切除术患者应用改良式加压包扎对其涎瘘的预防效果及患者满意程度的影响。方法选取医院2022年1月—2023年4月收治的70例腮腺肿瘤患者为研究对象,按照组间基本资料具有可比性的原则将其分为观察组和对照组,每组35例。两组均行肿瘤切除术及术后皮片引流,术后对照组予以常规绷带加压包扎,观察组则行弹性绷带改良加压包扎。统计两组患者术后涎瘘发生率,并记录术前及术后3 d、7 d和15 d的唾液分泌量,观察两组患者负压引流量及引流时间,比较两组患者涎瘘防控处理满意程度及疾病心理社会适应情况。结果观察组术后涎瘘发生率与对照组比较,差异无统计学意义(P>0.05);观察组患者术后7 d及15 d唾液分泌量分别是1.58±0.64 mL、1.22±0.38 mL,低于对照组的1.85±0.58 mL、1.53±0.39 mL,差异具有统计学意义(P<0.05);两组患者引流时间、引流量比较差异无统计学意义(P>0.05);观察组患者满意程度优于对照组,差异具有统计学意义(P<0.05),且观察组患者工作能力、交流状况、娱乐情况及心理状况的评分均低于对照组,差异具有统计学意义(P<0.05)。结论腮腺良性肿瘤患者切除术后应用改良式加压包扎是可行的,稳定、有效、舒适度高的加压包扎方式,能减少唾液分泌量,控制涎瘘发生概率,同时能有效提高包扎期间患者心理社会适应性,进而提高其满意度。Objective To analyze the preventive effect of modified compression bandaging on salivary fistula after resection in patients with benign parotid tumors and its impact on patient satisfaction.Methods A total of 70 patients with parotid tumors admitted to the hospital from January 2022 to April 2023 were selected as the study subjects.They were divided into an observation group and a control group,with 35 cases in each group,based on the principle of comparability of basic data between groups.Tumor resection surgery and postoperative skin flap drainage were performed in both groups.The control group implemented routine bandage compression after surgery,while the observation group implemented the modified compression bandaging with elastic bandages.The incidence of postoperative salivary fistula in both groups was statistically analyzed,and the volume of saliva secretion was recorded before surgery and at 3,7,and 15 days after surgery.Additionally,the negative pressure drainage volume and drainage time were observed in both groups.The differences in satisfaction levels regarding salivary fistula prevention and control measures,and the psychosocial adaptation to the disease between the two groups of patients were compared.Results There was no statistically significant difference in incidence of postoperative salivary fistula between the two groups(P>0.05).The saliva secretion volume of patients in the observation group at 7 and 15 days after surgery were 1.58±0.64 mL and 1.22±0.38 mL,respectively,which were lower than the 1.85±0.58 mL and 1.53±0.39 mL of the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference in drainage time and drainage volume between the two groups(P>0.05).The satisfaction of patients in the observation group was better than that in the control group,the difference was statistically significant(P<0.05).Additionally,the scores for the work ability,communication status,entertainment,and psychological condition of patients in the

关 键 词：腮腺良性肿瘤 改良加压包扎 涎瘘 满意程度 疾病心理社会适应 

分 类 号：R473.73[医药卫生—护理学]