中晚期口腔癌手术患者胃管置入管理方法的改进

Optimizing management for gastric tube placement in patients with moderate-to-advanced stage oral cancer

目的改进中晚期口腔癌手术患者胃管置入管理方法,提高术中置管率、术后一次置管成功率。方法将72例中晚期口腔癌行手术治疗的患者按入院时间段分为对照组42例、观察组30例。对照组采取常规管理,观察组采取医护协作改进后的胃管置入流程。结果观察组术中置管率、术后一次置管成功率显著高于对照组,置管后疼痛评分显著低于对照组(P<0.05,P<0.01)。结论实施改进后的胃管置入管理法有利于提高术中置管率和术后一次置管成功率,减轻患者术后置胃管的疼痛体验。

Objective To optimize management for gastric tube placement in patients undergoing surgical treatment for moderate-to-advanced stage oral cancer,and to enhance intraoperative placement rate and one-attempt success rate after the operation.Methods Seventy-two patients with moderate-to-advanced stage oral cancer were divided into a control group of 42 and an intervention group of 30 according to their admission time,receiving either routine management or optimized gastric tube placement process cooperated by surgeons and nurses.Results The intervention group had higher intraoperative placement rate and one-attempt success rate after the operation,as well as milder pain intensity compared with the control group(P<0.05,P<0.01).Conclusion The optimized management for gastric tube placement can not only enhance intraoperative placement rate and one-attempt success rate after the operation,but also alleviate pain experience of patients.