摘要
目的:研究喉裂开声带切除及垂直半喉切除术后留置鼻饲胃管与否对患者恢复的影响。方法:回顾性分析行喉裂开声带切除或垂直半喉切除术治疗的42例喉癌患者的临床资料,依术后是否留置鼻饲胃管分为甲组(不留置鼻饲胃管)20例和乙组(留置鼻饲胃管)22例。比较两组在术后感染、呛咳发生率、气管套管堵管时间及术后出院时间的差异。结果:甲、乙两组均恢复正常进食功能并成功拔出气管套管。两组患者在感染、进食呛咳的发生率方面无统计学差异(P>0.05);术后甲组的平均堵管时间明显小于乙组(P<0.05),出院时间也较乙组短(P<0.01)。结论:喉裂开声带切除及垂直半喉切除术后不留置鼻饲胃管能明显促进患者的恢复,提高生存质量。
Objective：To investigate the effect of the indwelling of nasogastric tube on recovery in patients after laryngofission combined with cordectomy and vertical hemilaryngectomy.Method：A retrospective analysis was performed on 42 patients who underwent laryngofission combined with cordectomy and vertical hemilaryngectomy.According to postoperative indwelling of nasogastric tube or not,patients were divided into two groups of non-indwelling group（Group A,n=20）and indwelling group（Group B,n=22）.Furthermore,the incidence of postoperative infection,eating and choking,the time of tracheal tube plugging and postoperative discharge were compared and analyzed between the two groups.Result：The two groups were all returned to normal eating function and successfully removed the endotracheal tube and discharged.There was no significant difference in the incidence of infection,eating and choking between groups（P〉0.05）;however,the average postoperative plugging time was significantly less in group A than that in group B（P〈0.05）,and the time of discharge was shorter than that of group B（P〈0.01）.Conclusion：Postoperative treatment without the indwelling of nasogastric tube after laryngofission combined with cordectomy and vertical hemilaryngectomy can significantly promote the recovery of patients and improve the quality of life of patients.
作者
刘东
单晓东
姜宇
徐振明
LIU Dong1, SHAN Xiaodong2, JIANG Yu1, XUZhenming2(1.The Educational Base of the 463 Hospital of PLA, Jinzhou Medical University, Shenyang, 110042 ;2.Department of Otorhinolaryngology, the 463 Hospital of PL)
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2018年第4期285-287,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
喉肿瘤
鼻饲胃管
生存质量
laryngeal neoplasms
nasogastric tube
quality of life
