In order to evaluate the availability of the lateral horizontal laryngectomy and anaplasty of epiglottis to treat some patients with specific supraglottic carcinomas and hypopharyngeal carcinomas, 17 cases of laryngea...In order to evaluate the availability of the lateral horizontal laryngectomy and anaplasty of epiglottis to treat some patients with specific supraglottic carcinomas and hypopharyngeal carcinomas, 17 cases of laryngeal and hypopharyngeal carcinomas were retrospectively analyzed, whose tumors were located at the lateral margin of epiglottis, aryepiglottic fold, medial wall of piriform fossa and were treated by the lateral horizontal laryngectomy and anaplasty of epiglottis. The results showed that all cases took food by mouth in postoperative 9-14 days and subjected to decannulation in postoperative 9-15 days. Three cases had postoperative hoarse voice. The free-disease survival rate of 3 years was 71.4 % in 14 cases followed up after the first surgical therapy, and the overall free-disease survival rate of 3 years was 85.7 % after the second surgical therapy. It was concluded that the manipulations of the lateral horizontal laryngectomy and epiglottiplasty were simple. It could alleviate the postoperative symptoms of aspiration and bucking remarkably and shorten their postoperative recovery time, yet does not lower the survival rate of patients if laryngocarcinoma or hypopharyngeal carcinoma cases were properly selected.展开更多
目的·探讨线上课程联合回授法在喉切除患者及照顾者中的应用效果。方法·采用便利抽样法,选取2022年7月—2023年6月在上海市长海医院耳鼻咽喉科收治的喉切除患者及其家庭照顾者,运用随机数字表分为对照组和观察组,分别安置在2...目的·探讨线上课程联合回授法在喉切除患者及照顾者中的应用效果。方法·采用便利抽样法,选取2022年7月—2023年6月在上海市长海医院耳鼻咽喉科收治的喉切除患者及其家庭照顾者,运用随机数字表分为对照组和观察组,分别安置在2个病区进行干预。收集2组患者及照顾者的一般资料。对照组于入院后线下观看科室录制的喉癌相关知识讲解以及气道造口护理、吸痰和鼻饲等操作标准流程视频;视频分4次观看,每周1次,30 min/次。观察组入院后在线上自行观看相同的视频(8个课程),同时护理人员应用回授法进行每周1次的健康教育,每次巩固2个课程,45 min/次,共4次。分别于基线(第1周)、出院前(第4周)、出院后1个月(第8周)采用照顾者准备度量表(Caregiver Preparedness Scale,CPS)、家庭照顾者照顾能力量表(Family Caregiver Task Inventory,FCTI)、中国头颈癌患者生命质量测定量表(Quality of Life Instruments for Cancer Patients-Head and Neck Cancer,QLICP-HN),以及出院后居家护理期间不良事件发生率进行效果评价。结果·共纳入120对患者及其照顾者,对照组和观察组各60对,因各种原因2组各剔除5对,最终每组入选55对。2组患者和照顾者的一般资料、基线时患者的QLICP-HN得分,以及照顾者的CPS和FCTI得分,差异均无统计学意义(均P>0.05)。出院前和出院后1个月,观察组照顾者的CPS得分和患者的QLICP-HN得分均显著高于对照组,FCTI得分显著低于对照组(该量表得分越低表示照顾能力越强),差异均具有统计学意义(均P<0.05)。观察组在出院后1个月内居家护理不良事件发生率低于对照组(5.5%vs 29.1%),差异具有统计学意义(P<0.05)。结论·线上课程联合回授法有助于提高喉切除术后患者的家庭照顾者的照顾准备度及照顾能力,提高患者的生活质量,降低居家护理期间不良事件发生率。展开更多
文摘In order to evaluate the availability of the lateral horizontal laryngectomy and anaplasty of epiglottis to treat some patients with specific supraglottic carcinomas and hypopharyngeal carcinomas, 17 cases of laryngeal and hypopharyngeal carcinomas were retrospectively analyzed, whose tumors were located at the lateral margin of epiglottis, aryepiglottic fold, medial wall of piriform fossa and were treated by the lateral horizontal laryngectomy and anaplasty of epiglottis. The results showed that all cases took food by mouth in postoperative 9-14 days and subjected to decannulation in postoperative 9-15 days. Three cases had postoperative hoarse voice. The free-disease survival rate of 3 years was 71.4 % in 14 cases followed up after the first surgical therapy, and the overall free-disease survival rate of 3 years was 85.7 % after the second surgical therapy. It was concluded that the manipulations of the lateral horizontal laryngectomy and epiglottiplasty were simple. It could alleviate the postoperative symptoms of aspiration and bucking remarkably and shorten their postoperative recovery time, yet does not lower the survival rate of patients if laryngocarcinoma or hypopharyngeal carcinoma cases were properly selected.
文摘目的·探讨线上课程联合回授法在喉切除患者及照顾者中的应用效果。方法·采用便利抽样法,选取2022年7月—2023年6月在上海市长海医院耳鼻咽喉科收治的喉切除患者及其家庭照顾者,运用随机数字表分为对照组和观察组,分别安置在2个病区进行干预。收集2组患者及照顾者的一般资料。对照组于入院后线下观看科室录制的喉癌相关知识讲解以及气道造口护理、吸痰和鼻饲等操作标准流程视频;视频分4次观看,每周1次,30 min/次。观察组入院后在线上自行观看相同的视频(8个课程),同时护理人员应用回授法进行每周1次的健康教育,每次巩固2个课程,45 min/次,共4次。分别于基线(第1周)、出院前(第4周)、出院后1个月(第8周)采用照顾者准备度量表(Caregiver Preparedness Scale,CPS)、家庭照顾者照顾能力量表(Family Caregiver Task Inventory,FCTI)、中国头颈癌患者生命质量测定量表(Quality of Life Instruments for Cancer Patients-Head and Neck Cancer,QLICP-HN),以及出院后居家护理期间不良事件发生率进行效果评价。结果·共纳入120对患者及其照顾者,对照组和观察组各60对,因各种原因2组各剔除5对,最终每组入选55对。2组患者和照顾者的一般资料、基线时患者的QLICP-HN得分,以及照顾者的CPS和FCTI得分,差异均无统计学意义(均P>0.05)。出院前和出院后1个月,观察组照顾者的CPS得分和患者的QLICP-HN得分均显著高于对照组,FCTI得分显著低于对照组(该量表得分越低表示照顾能力越强),差异均具有统计学意义(均P<0.05)。观察组在出院后1个月内居家护理不良事件发生率低于对照组(5.5%vs 29.1%),差异具有统计学意义(P<0.05)。结论·线上课程联合回授法有助于提高喉切除术后患者的家庭照顾者的照顾准备度及照顾能力,提高患者的生活质量,降低居家护理期间不良事件发生率。
