解放军护理杂志
解放軍護理雜誌
해방군호리잡지
NURSING JOURNAL OF CHINESE PEOPLE'S LIBERATION ARMY
2015年
7期
24-26
,共3页
头颈肿瘤%选择性气管切开%肺部感染
頭頸腫瘤%選擇性氣管切開%肺部感染
두경종류%선택성기관절개%폐부감염
head and neck cancer%selective tracheotomy%pulmonary infection
目的：了解头颈肿瘤患者行气管切开术后并发肺部感染的情况,以期为预防及减少术后肺部感染的发生提供参考依据.方法采用回顾性研究的方法,对某三级甲等综合性医院自2012年1月至2013年9月收治的头颈肿瘤气管切开术后患者532例的临床资料进行分析,按是否发生术后肺部感染,将其分为两组,即有肺部感染组(n＝80)和无肺部感染组(n＝452),统计患者的性别、年龄、气套管留置时间等资料.结果有肺部感染组年龄22~87岁,平均(56．11±13．87)岁；气管套管留置时间3~58 d,平均(15．71±8．87)d；无肺部感染组年龄3~88岁,平均(57．4±14．02)岁,气管套管留置时间2~43 d,平均(11．35±5．28)d.与女性相比,男性更易并发肺部感染,差异有统计学意义(χ2＝5．340,P＝0．013).两组患者是否带管出院上的差异有统计学意义(z＝－5．041,P＝0．0001).舌癌、颌骨及颊部肿瘤患者并发肺部感染的比例最高,分别为36．2％、18．8％和16．2％.结论头颈肿瘤患者术中选择性气切切开术并发肺部感染的比例较高,男性及舌癌、颌骨和颊部肿瘤患者术后需引起高度的重视,加强呼吸道护理以减少肺部并发症的发生.
目的：瞭解頭頸腫瘤患者行氣管切開術後併髮肺部感染的情況,以期為預防及減少術後肺部感染的髮生提供參攷依據.方法採用迴顧性研究的方法,對某三級甲等綜閤性醫院自2012年1月至2013年9月收治的頭頸腫瘤氣管切開術後患者532例的臨床資料進行分析,按是否髮生術後肺部感染,將其分為兩組,即有肺部感染組(n＝80)和無肺部感染組(n＝452),統計患者的性彆、年齡、氣套管留置時間等資料.結果有肺部感染組年齡22~87歲,平均(56．11±13．87)歲；氣管套管留置時間3~58 d,平均(15．71±8．87)d；無肺部感染組年齡3~88歲,平均(57．4±14．02)歲,氣管套管留置時間2~43 d,平均(11．35±5．28)d.與女性相比,男性更易併髮肺部感染,差異有統計學意義(χ2＝5．340,P＝0．013).兩組患者是否帶管齣院上的差異有統計學意義(z＝－5．041,P＝0．0001).舌癌、頜骨及頰部腫瘤患者併髮肺部感染的比例最高,分彆為36．2％、18．8％和16．2％.結論頭頸腫瘤患者術中選擇性氣切切開術併髮肺部感染的比例較高,男性及舌癌、頜骨和頰部腫瘤患者術後需引起高度的重視,加彊呼吸道護理以減少肺部併髮癥的髮生.
목적：료해두경종류환자행기관절개술후병발폐부감염적정황,이기위예방급감소술후폐부감염적발생제공삼고의거.방법채용회고성연구적방법,대모삼급갑등종합성의원자2012년1월지2013년9월수치적두경종류기관절개술후환자532례적림상자료진행분석,안시부발생술후폐부감염,장기분위량조,즉유폐부감염조(n＝80)화무폐부감염조(n＝452),통계환자적성별、년령、기투관류치시간등자료.결과유폐부감염조년령22~87세,평균(56．11±13．87)세；기관투관류치시간3~58 d,평균(15．71±8．87)d；무폐부감염조년령3~88세,평균(57．4±14．02)세,기관투관류치시간2~43 d,평균(11．35±5．28)d.여녀성상비,남성경역병발폐부감염,차이유통계학의의(χ2＝5．340,P＝0．013).량조환자시부대관출원상적차이유통계학의의(z＝－5．041,P＝0．0001).설암、합골급협부종류환자병발폐부감염적비례최고,분별위36．2％、18．8％화16．2％.결론두경종류환자술중선택성기절절개술병발폐부감염적비례교고,남성급설암、합골화협부종류환자술후수인기고도적중시,가강호흡도호리이감소폐부병발증적발생.
Objective To understand the situation of complicated pulmonary infection after tracheostomy in surgery for head and neck oncology ,provide the reference for preventing and reduce the occurrence of postoperative pulmonary infection.Methods Clinical data of 532 cases were analyzed retrospectively,and the patients were divided into pulmonary infection group (n=80),and non-pulmonary infection group(n=452).The gender,age and time of catheter indwelling were analyzed.Results The age of pulmonary infec-tion group was 22~87 years,(56.11±13.87)years averagely;the indwelling time was 3~58 d,(15.71± 8.87)d averagely.The age of non-pulmonary infection group was 3~88 years,(57.4±14.02)years average-ly,the indwelling time was 2~43 d,(11.35±5.28)d averagely.Compared with female,the male were easy to be complicated with pulmonary infection(χ2=5.340,P=0.013).There was statistical significance of whether to discharge with catheter indwelling between two groups(z=-5.041,P=0.0001).Patients who have tongue,j aw or cheek cancer suffered from pulmonary infection with highest percentage,which were 36.2%,18.8% and 16.2% respectively.Conclusion Patients with the head and neck cancer who received se-lective tracheotomy in surgery have higher incidence of complicated pulmonary infection.More attention should be given to the male and tongue,j aw or cheek cancer patients after surgery,to strengthen the respir-atory tract nursing,and to reduce the incidence of pulmonary infection.
