全程负压浅部吸痰联合气管内滴药在喉癌术后护理中的应用及探讨

Application and Discussion of Nursing in the Nursing of Laryngeal Carcinoma with Superficial Absorption Hypochondriasis Combined with Tracheal Dropping

目的分析全程负压浅部吸痰联合气管内滴药在喉癌术后护理中的应用效果。方法方便选取2016年3月—2017年12月于该院实施喉癌术的54例患者作为研究对象,回顾性分析所有患者的病历资料,按照护理方式的不同将患者分成两组,一组采用常规护理措施,为对照组,一组实施全程负压浅部吸痰联合气管内滴药护理,为研究组,每组27例,对比分析两组患者的护理效果。结果研究组患者一次性导管洁净度达2分的患者占比77.78%(21例),高于对照组的51.85%(14例),两组数据比较差异有统计学意义(χ2=3.978 9,P<0.05);研究组患者肺部感染等不良事件的发生率为7.41%(1例),明显低于对照组的29.63%(8例),组间数据比较差异有统计学意义(χ2=4.418 3,P<0.05);研究组患者的治疗依从性为92.59%(25例),护理满意度为96.30%(26例),对照组患者的治疗依从性为70.37%(19例),护理满意度为74.07%(20例),两组数据比较差异有统计学意义(χ2=4.418 2、5.282 6,P<0.05)。结论喉癌术后患者实施全程负压浅部吸痰联合气管内滴药可有效减少术后并发症,并保持导管清洁度,患者的护理依从性和满意度也更高,该联合护理方式在喉癌术后患者的护理中具有较高的应用价值。

Objective This paper tries to analyze the effect of suction suction combined with intratracheal drip in the whole course of nursing of laryngeal cancer. Methods 54 patients who underwent laryngeal cancer surgery in this hospital from March 2016 to December 2017 were convenient selected as research subjects. The medical records of all patients were retrospectively analyzed and divided into two groups according to different nursing methods. One group used conventional care,as the control group and one group underwent whole course of negative pressure suction and combined endotracheal drip care, as the study group, there were 27 cases in each group, and the nursing effects of the two groups were compared and analyzed. Results The proportion of patients with a one-time catheter cleanliness of 2 points in the study group accounted for 77.78%（21 cases）, which was higher than the 51.85%（14 cases） in the control group. There was a statistically significant difference between the two groups（χ^2=3.978 9,P〈0.05）. The incidence of adverse events such as pulmonary infection in the study group was 7.41%（1 case）, which was significantly lower than that of the control group 29.63%（8 cases）. The data between the groups was statistically significant（χ^2=4.418 3,P〈0.05）; The treatment compliance of patients in the study group was 92.59%（25 cases）, the satisfaction rate of care was 96.30%（26 cases）, the control compliance of the control group was 70.37%（19 cases）, and the care satisfaction was 74.07%（20 cases）, the two groups of data were statistically significant（χ^2=4.418 2,5.282 6,P〈0.05）. Conclusion Patients with postoperative laryngeal cancer who underwent full-time suction and combined with intratracheal drip administration can effectively reduce postoperative complications and maintain catheter cleanliness. Patients＇ care compliance and satisfaction are also higher. The combined care has a high application value in the postoperative larynx care of patients with cancer.