个体化饮食管理联合口腔冲洗对口腔恶性肿瘤术后疗效的影响
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摘要
目的研究个体化饮食护理联合口腔卫生管理在口腔恶性肿瘤术后的应用效果。方法将83例口腔恶性肿瘤需要进行手术治疗的患者,采用抽签法随机分为对照组(n=41)和观察组(n=42)。对照组患者术后给予常规护理,观察组患者在常规护理的基础上采用个体化饮食护理联合口腔冲洗给予管理。分别比较两组患者术后第3天、第7天和第15天的营养指标;患者术后24h、48h、72h、96h口腔内黏膜表面菌落计数;患者的舒适度和口腔清洁度。结果两组患者术后营养状况改善差异无显著意义(P>0.05);观察组口腔内菌落计数明显低于对照组(P<0.05),而术后舒适度、口腔清洁度明显高于对照组(P<0.05)。结论对口腔恶性肿瘤患者术后采用个体化饮食护理联合口腔冲洗,对患者术后营养摄入无明显影响,但能提高患者术后舒适度,有效抑制口腔内细菌生长和保持口腔清洁,减少口腔感染几率,从而对患者术后疗效有积极正面的影响作用。
Objective To study the postoperative curative effects of nursing care of individualized diet management combined oral rinse applied for patients with oral malignant tumor.Methods 83 cases of oral malignant tumor patients require surgical treatment were randomly divided into control group(41 cases with conventional care)and observation group(42 cases with individualized diet nursing combined oral rinse)by the lottery method.Nutrition index on the 3 rd,7 th and 15 th day after surgery was compared respectively between two groups.The patient comfort,oral cleanliness and oral colony count on the 24 h,48,72 hand 96 hwas measured and compared after surgery for the two group.Result There was no significant difference in nutrition index between two groups(P<0.05).But the oral colony count was lower,the patient comfort and oral cleanliness in the observation group was higher than that of the control group.Conclusion The nursing care of individualized diet management combined oral rinse has the same effect as conventional care in the postoperative nutrition intake.It can improve the patients' comfort,effectively inhibit the growth of bacteria and keep clean in the mouth.So it has certain clinical applicable value for postoperative patients with oral malignant tumor.
Objective To study the postoperative curative effects of nursing care of individualized diet management combined oral rinse applied for patients with oral malignant tumor.Methods 83 cases of oral malignant tumor patients require surgical treatment were randomly divided into control group(41 cases with conventional care)and observation group(42 cases with individualized diet nursing combined oral rinse)by the lottery method.Nutrition index on the 3 rd,7 th and 15 th day after surgery was compared respectively between two groups.The patient comfort,oral cleanliness and oral colony count on the 24 h,48,72 hand 96 hwas measured and compared after surgery for the two group.Result There was no significant difference in nutrition index between two groups(P<0.05).But the oral colony count was lower,the patient comfort and oral cleanliness in the observation group was higher than that of the control group.Conclusion The nursing care of individualized diet management combined oral rinse has the same effect as conventional care in the postoperative nutrition intake.It can improve the patients' comfort,effectively inhibit the growth of bacteria and keep clean in the mouth.So it has certain clinical applicable value for postoperative patients with oral malignant tumor.
引文
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[12]杜娟,蔡艺灵,孔祥锴,等.3%过氧化氢溶液口腔内冲洗致脑栓塞一例[J].中国脑血管病杂志,2006,12(5):76-77.
[13]周淑冷,林丽芳.不同浓度的双氧水溶液在口腔冲洗患者中舒适度的调查与分析[J].临床医药文献杂志(电子版),2015,2(16):3353.
[2]严颖彬,彭歆,毛驰.口腔癌患者术后生存质量评价及影响因素分析[J].中国口腔颌面外科杂志,2012,10(4):316-321.
[3]李小寒,尚少梅.基础护理学[M].4版.北京:人民卫生出版社,2006:64-69.
[4]赵佛容,李秀娥,邓立梅.口腔科护理手册[M].2版.北京:科学出版社,2015:281-283.
[5]唐慧婷.气管插管危重患者口腔护理临床实践指南构建[D].上海:复旦大学,2013.
[6]张江平,刘燕,方晓娟,等.舒适护理在纤维支气管镜检查中的应用及效果观察[J].中国实用护理杂志,2010,26(12):19-20.
[7]田梓蓉,朱晓雪,梁晶.集束化鼻饲护理预防喉切除患者胃部不适[J].护理学杂志,2017,32(24):45-47.
[8]李劲松,黄启辉,于钟,等.口腔癌根治术后并发消化道应激性溃疡出血13例分析[J].岭南急诊医学杂志,2014,9(1):87-89.
[9]邹芳,陈卫民.口腔癌术后患者消化道出血的高危因素分析及预防对策[J].临床口腔医学杂志,2015,31(12):741-742.
[10]朱玉芹,吴晓花.国内留置胃管的护理研究进展[J].护士进修杂志,2006,2(4):371-373.
[11]李立青,罗丹华,林莉珍.棉球擦拭加双氧水冲洗刮吸的口腔护理在经口气管插管患者中的疗效观察[J].医学临床研究,2013,67(2):385-386.
[12]杜娟,蔡艺灵,孔祥锴,等.3%过氧化氢溶液口腔内冲洗致脑栓塞一例[J].中国脑血管病杂志,2006,12(5):76-77.
[13]周淑冷,林丽芳.不同浓度的双氧水溶液在口腔冲洗患者中舒适度的调查与分析[J].临床医药文献杂志(电子版),2015,2(16):3353.