CAJ | 학술논문

目的：探讨术前强化口腔护理在鼻咽癌手术患者中的应用效果。方法根据纳入标准，选择确诊为鼻咽癌残灶或复发灶，拟行手术治疗的患者94例，随机分为实验组和对照组，试验组术前进行包括早期鼻腔冲洗及个体化口腔护理、口面颈部肌肉功能锻炼、咳嗽打喷嚏的应对方式、健康教育及心理护理的早期强化口腔护理方法，对照组进行常规护理。于术后记录口腔切口感染发生率，术后3个月随访患者洼田饮水试验、患者的张口情况、颈部活动情况等。结果实验组患者的术后术后创面感染发生率低于对照组，术后3个月吞咽障碍、张口困难的发生率低于对照组。结论术前进行强化口腔护理的方法可以降低鼻咽癌术后感染以及吞咽障碍、张口困难的发生率，值得在临床上推广。
목적：탐토술전강화구강호리재비인암수술환자중적응용효과。방법근거납입표준，선택학진위비인암잔조혹복발조，의행수술치료적환자94례，수궤분위실험조화대조조，시험조술전진행포괄조기비강충세급개체화구강호리、구면경부기육공능단련、해수타분체적응대방식、건강교육급심리호리적조기강화구강호리방법，대조조진행상규호리。우술후기록구강절구감염발생솔，술후3개월수방환자와전음수시험、환자적장구정황、경부활동정황등。결과실험조환자적술후술후창면감염발생솔저우대조조，술후3개월탄인장애、장구곤난적발생솔저우대조조。결론술전진행강화구강호리적방법가이강저비인암술후감염이급탄인장애、장구곤난적발생솔，치득재림상상추엄。
Objective:To investigate the ef ects of preoperative strengthen oral care in patients with nasopharyngeal carcinoma surgery.Methods:based on the inclusion criteria,94 pa-tients who were diagnosed with residual lesions or recurrent nasopharyngeal carcinoma lesions were selected,and were randomly divided into experimental group and control group,the experimen-tal group Was implemented preoperative strengthen oral care,including early preoperative nasal irrigation and individual oral care,orofacial neck muscle function exercise,ways to deal with coughing and sneezing,health education and psychological care.Record incidence of oral cavity wound infection after surgery and Kubota water drinking test results,the patient's mouth opening situation,neck movements after 3 months fol ow-up.Results:incidence of postoperative wound infection and 3 months’dysphasia,dif iculty in opening mouth in patients in experimental group were lower than the control group.Conclusion:Preoperative intensive oral care methods can reduce postoperative infection and nasopharyngeal dysphagia,truisms incidence;it is worth in clinical practice.