前臂游离皮瓣修复舌癌根治术后应用系统性创面护理干预的价值研究(1)
【摘要】 目的：探讨前臂游离皮瓣修复舌癌根治术后应用系统性创面护理干预的价值。方法：选择2018年4月-2019年6月于本院治疗的72例舌癌患者作为研究对象，采用随机数字表法分为参照组和研究组，各36例。参照组采用常规护理，研究组采用常规护理联合系统性创面护理。观察和比较两组患者的吞咽功能、语言功能恢复效果及患者自护评分。结果：研究组经系统性创面护理后吞咽功能评分低于参照组，差异有统计学意义(P<0.05)。研究组经系统性创面护理后语言功能评分和自护能力评分均高于参照组，差异均有统计学意义(P<0.05)。结论：对舌癌患者前臂游离皮瓣修复舌癌根治术后实施系统性创面护理干预，不仅能促进患者吞咽功能及语言功能的恢复，还可有效提高患者自护能力。
【关键词】 前臂游离皮瓣 舌癌根治术 修复 系统性创面护理 吞咽功能 语言功能 自护能力
doi：10.14033/j.cnki.cfmr.2020.24.039 文献标识码 B 文章编号 1674-6805(2020)24-00-03
[Abstract] Objective： To explore the value of systemic wound nursing intervention in the application of forearm free flap in the treatment of tongue cancer after radical operation. Method： A total of 72 patients with tongue cancer who were treated in our hospital from April 2018 to June 2019 were selected as the research objects， and randomly divided into two groups， 36 cases in each group. The patients of the reference group were taken routine nursing， and the patients of the research group were taken routine nursing combined with systemic wound nursing .The swallowing function， language function recovery effect and self-care score of the two groups were observed and compared between the two groups. Result： The score of swallowing function in the study group was lower than that in the reference group， the difference was statistically significant (P<0.05). The scores of language function and self-care ability in the study group were higher than those in the reference group， the differences were statistically significant (P<0.05). Conclusion： The systemic wound nursing intervention for patients with tongue cancer after radical operation with forearm free flap can not only promote the recovery of swallowing function and language function， but also effectively improve the self-care ability of patients.
[Key words] Tongue cancer after radical operation Forearm free flap Repair Systemic wound nursing Swallowing function Language function Self-care ability
First-author’s address： The First Affiliated Hospital of Xiamen University， Xiamen 361003， China
舌癌是一种口腔頜面部恶性肿瘤，该疾病具体病因尚未明确，多数学者认为与环境因素有关，肿瘤多见于舌腹、舌缘，并伴有局部白斑[1]。患者会出现舌运动受限、吞咽困难及进食困难，早期会出现颈淋巴结转移，严重危及患者的生命安全。临床主要采用以手术为主的综合疗法治疗舌癌，手术前后都需要配合化疗或放疗，有研究表示，前臂游离皮瓣修复舌癌根治术可有效阻止肿瘤细胞的转移，进而提高患者的生存质量[2]。在采用前臂游离皮瓣修复舌癌根治术后，需要重点关照患者的移植皮瓣，避免出现皮瓣出血、皮瓣感染及皮瓣血管危象等并发症，从而保障手术修复效果，促进舌体功能的恢复[3]。因此，需要着重对患者术后创面实施针对性护理干预，创面护理是围绕患者创口实施的一系列干预措施，以促进创面愈合的临床服务，保障手术治疗效果。故本文探讨应用前臂游离皮瓣修复舌癌根治术后系统性创面护理干预的价值，现报告如下。
1 资料与方法
1.1 一般资料, 百拇医药(颜少观 杨彩虹)
【关键词】 前臂游离皮瓣 舌癌根治术 修复 系统性创面护理 吞咽功能 语言功能 自护能力
doi：10.14033/j.cnki.cfmr.2020.24.039 文献标识码 B 文章编号 1674-6805(2020)24-00-03
[Abstract] Objective： To explore the value of systemic wound nursing intervention in the application of forearm free flap in the treatment of tongue cancer after radical operation. Method： A total of 72 patients with tongue cancer who were treated in our hospital from April 2018 to June 2019 were selected as the research objects， and randomly divided into two groups， 36 cases in each group. The patients of the reference group were taken routine nursing， and the patients of the research group were taken routine nursing combined with systemic wound nursing .The swallowing function， language function recovery effect and self-care score of the two groups were observed and compared between the two groups. Result： The score of swallowing function in the study group was lower than that in the reference group， the difference was statistically significant (P<0.05). The scores of language function and self-care ability in the study group were higher than those in the reference group， the differences were statistically significant (P<0.05). Conclusion： The systemic wound nursing intervention for patients with tongue cancer after radical operation with forearm free flap can not only promote the recovery of swallowing function and language function， but also effectively improve the self-care ability of patients.
[Key words] Tongue cancer after radical operation Forearm free flap Repair Systemic wound nursing Swallowing function Language function Self-care ability
First-author’s address： The First Affiliated Hospital of Xiamen University， Xiamen 361003， China
舌癌是一种口腔頜面部恶性肿瘤，该疾病具体病因尚未明确，多数学者认为与环境因素有关，肿瘤多见于舌腹、舌缘，并伴有局部白斑[1]。患者会出现舌运动受限、吞咽困难及进食困难，早期会出现颈淋巴结转移，严重危及患者的生命安全。临床主要采用以手术为主的综合疗法治疗舌癌，手术前后都需要配合化疗或放疗，有研究表示，前臂游离皮瓣修复舌癌根治术可有效阻止肿瘤细胞的转移，进而提高患者的生存质量[2]。在采用前臂游离皮瓣修复舌癌根治术后，需要重点关照患者的移植皮瓣，避免出现皮瓣出血、皮瓣感染及皮瓣血管危象等并发症，从而保障手术修复效果，促进舌体功能的恢复[3]。因此，需要着重对患者术后创面实施针对性护理干预，创面护理是围绕患者创口实施的一系列干预措施，以促进创面愈合的临床服务，保障手术治疗效果。故本文探讨应用前臂游离皮瓣修复舌癌根治术后系统性创面护理干预的价值，现报告如下。
1 资料与方法
1.1 一般资料, 百拇医药(颜少观 杨彩虹)