口腔癌围术期患者的临床特点及口腔护理

Clinical characteristics and oral care needs of perioperative patients with oral cancer

口腔癌患者的治疗方式多以手术治疗为主,辅以放化疗。本文回顾了口腔癌围术期患者的临床特点包括口腔内菌群失调、放化疗引起的口腔并发症、术后口腔内切口及皮瓣的存在、特殊的饮食以及气道管理。根据以上特点,本文从提高患者的舒适度、预防肺部感染、预防切口感染3个角度分析口腔护理的必要性,旨在为口腔癌手术患者的口腔护理研究提供参考,为后续口腔癌围术期综合口腔护理方案的制订打下基础。

The treatment of oral cancer patients mainly involves surgery in combination with radiotherapy and che-motherapy.This paper reviews the clinical features of perioperative patients with oral cancer,including oral flora imbal-ance,oral complications after radiotherapy and chemotherapy,the presence of oral incisions(and flaps),special dietary needs,and airway management.In connection with the above characteristics,this article analyzes the necessity of three aspects of oral care to improve the patient??s comfort and prevent pulmonary and surgical site infections,with the goal of providing a reference for oral care research on patients undergoing oral cancer surgery and laying a foundation for the construction of comprehensive oral care programs during the perioperative period for patients with oral cancer.