CAJ | 학술논문

目的：探索有效的护理干预，改善环状软骨上喉部分切除术后误咽的状况，使患者尽早恢复正常进食，提高生活质量。方法我科2007年1月至2010年6月行环状软骨上喉部分切除术的31例误咽患者，从心理护理、术前功能锻炼、术后体位、饮食、吞咽功能锻炼几个方面进行护理干预。结果31例患者中，4例保留双侧披裂的 CHEP 患者，术后6～17天误咽消失；19例仅保留单侧披裂的环状软骨会厌舌骨固定（CHEP）患者中，14例术后12～19天误咽消失，5例术后21～57天误咽消失；8例环状软骨舌骨固定（CHP）患者中，6例术后45～72天误咽消失，2例270～312天误咽消失。无因误咽改做全喉切除术的病例。结论通过心理疏导、吞咽功能训练以及经口进食的护理对策，能明显缩短患者术后误咽的时间而恢复正常进食。
목적：탐색유효적호리간예，개선배상연골상후부분절제술후오인적상황，사환자진조회복정상진식，제고생활질량。방법아과2007년1월지2010년6월행배상연골상후부분절제술적31례오인환자，종심리호리、술전공능단련、술후체위、음식、탄인공능단련궤개방면진행호리간예。결과31례환자중，4례보류쌍측피렬적 CHEP 환자，술후6～17천오인소실；19례부보류단측피렬적배상연골회염설골고정（CHEP）환자중，14례술후12～19천오인소실，5례술후21～57천오인소실；8례배상연골설골고정（CHP）환자중，6례술후45～72천오인소실，2례270～312천오인소실。무인오인개주전후절제술적병례。결론통과심리소도、탄인공능훈련이급경구진식적호리대책，능명현축단환자술후오인적시간이회복정상진식。
Objective To explore the improved status of the aspiration after supracricoid partial laryngectomy by using effec -tive nursing interventions,so as to recover the normal eating as soon as possible ,and improve the quality of life as well .Methods Thir-ty-one cases underwent partial excision of the ring of the cartilage in our department from January 2007 to June 2010.After operation, we performed nursing interventions focusing on the psychological nursing ,preoperative functional exercise ,postoperative posture,diet and swallowing function exercise.Results In the 4 patients with cricohyoidoepiglottopexy (CHEP)operation retaining bilateral aryepi-glottic fold,the aspirations disappeared during 6 to 17 days after operation.In the 19 CHEP patients retaining unilateral arytenoids ,14 patients'aspirations disappeared during 12 to 19 days after operation and 5 patients during 21to 57 days after operation,respectively.In the 8 patients with cricohyoidopexy (CHP)surgery,6 patients'aspirations disappeared during 45 to 72 days after operation,and 2 pa-tients during 270 to 312 days after operation.No total laryngectomy was done due to aspiration .Conclusion The period of aspiration after operation could be shortened via preoperative psychological counseling ,functional training and oral feeding .Those nursing interven-tions are beneficial for normal eating during patients recovering .