CAJ | 학술논문

目的探讨喉癌手术患者胃管使用的干扰因素,结合临床提出相应的护理对策.方法选取我院60例胃管使用患者,随机分为对照组与观察组各30例.对照组对胃管仅常规使用,观察组全部病例均通过分析胃管使用的影响因素,及时采用了相应的对策.对2组患者的满意度、术后并发症情况、住院时间、治愈率等进行统计分析.结果影响患者正常使用胃管的原因有自行拔管、脱管、堵管、术后并发症等因素,经过及时的对症处理和积极护理,均未影响患者的营养摄入和术后恢复.观察组各项指标均优于对照组.结论喉癌手术患者胃管需停留的时间较长,要保证胃管的正常使用,达到治疗效果,就需要加强对患者的宣教,密切观察患者反应,及时对症处理.
목적 탐토후암수술환자위관사용적간우인소,결합림상제출상응적호리대책.방법 선취아원60례위관사용환자,수궤분위대조조여관찰조각30례.대조조대위관부상규사용,관찰조전부병례균통과분석위관사용적영향인소,급시채용료상응적대책.대2조환자적만의도、술후병발증정황、주원시간、치유솔등진행통계분석.결과 영향환자정상사용위관적원인유자행발관、탈관、도관、술후병발증등인소,경과급시적대증처리화적겁호리,균미영향환자적영양섭입화술후회복.관찰조각항지표균우우대조조.결론 후암수술환자위관수정류적시간교장,요보증위관적정상사용,체도치료효과,취수요가강대환자적선교,밀절관찰환자반응,급시대증처리.
Objective To investigate the interference causes of indwelling gastric tube for patients undergoing laryngeal tumor surgery,and explore the appropriate clinical nursing countermeasures.Methods 60 cases of laryngeal cancer patients with indwelling gastric tube were divided into the control group and the observation group with 30 cases in each group.The control group used indwelling gastric tube with routine nursing,while in the observation group,the influencing factors for indwelling gastric tube were analyzed and per-tinent neasures were adopted timely.The satisfaction degree of patients,incidence of postoperative compli-cations,hospitalization time and effective rate of treatment were compared.Results The factors influ-encing use of indwelling gastric tube were tracheal extubation by patients,trachea cannula exodus,pipe blockage and postoperative complications.After timely expectant treatment and positive nursing,the nutri-tion intake and postoperative recovery were not affected.The related indexes of the observation group were better than those of the control group.Conclusions Patients after laryngeal cancer surgery need longtime indwelling gastric tube.Measures such as strengthening of education and propaganda,close observation of patients′ condition and timely expectant treatment should be given in order to ensure the normal use of gastric tube and reach desirable treatment effect.