早期活动对口腔癌根治术后患者康复影响的观察

Influence of early activity on rehabilitation of oral cancer patients after radical resection

目的:观察早期活动对口腔癌根治性切除加皮瓣移植术后患者康复的影响。方法:按随机分组法,观察组、对照组病例各25例,制定详细的"口腔癌根治性切除加皮瓣移植术后早期活动计划"对观察组进行早期活动干预,对照组接受常规护理。分别对两组移植皮瓣血循环危象发生情况、腰背痛、压疮发生、膀胱功能恢复情况等进行观察与比较。结果:两组间发生移植皮瓣血循环危象和一次拔管成功率无差异(P>0.05),观察组留置导尿管时间短于对照组,压疮发生率、腰背疼痛发生率低于对照组(P<0.05)。结论:早期活动可促进口腔癌根治性切除加皮瓣移植术后患者康复进程。

Objective： To research on the influence of early activity on postoperative rehabilitation of oral cancer patients with radical resection and skin flap transplantation. Methods： 50 patients were randomly divided into trial group and control group, and each group was25 patients. The detailed plans early activity was applied on postoperative patient in trial group, and only the routine nursing care in the other group. The blood circulation crisis of flap, low back pain, pressure sores, the recovery of bladder function and some other aspects were comprehensive compared between the trial and the control group. Results： There was no difference in the incidence rate of blood circulation crisis of flap and success rate of extubation. And patients of trial had no pressure sores and shorter retentio n time of ureter. Conclusion： Early activity can promote the rehabilitation of postoperative patient.