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目的探讨蛙田饮水试验在预防鼻咽癌患者放疗后吸入性肺炎的作用。方法选取2013年1月~2016年12月在我院肿瘤科住院且符合标准的126例患者为研究对象,按随机数字表法分为对照组和观察组,各63例。对照组给予常规护理,观察组按蛙田饮水试验法进行评估,筛选吞咽和咳嗽反射能力差的患者,提前进行护理干预。比较两组患者误吸、呛咳及吸入性肺炎的发生率。结果观察组呛咳和误吸发生率显著低于对照组(P<0.05);观察组吸入性肺炎发病率显著低于对照组(P<0.05)。结论早期采用蛙田饮水试验评估法对鼻咽癌患者放疗后的吞咽功能进行评估和干预,能有效减少鼻咽癌患者放疗后吸入性肺炎的发生率。
Objective To investigate the effect of frog water test on preventing aspiration pneumonia after radiotherapy in patients with nasopharyngeal carcinoma. Methods One hundred and sixty-six patients who were admitted to Department of Oncology in our hospital from January 2013 to December 2016 were selected as control group and observation group according to the random number table. The control group was given routine nursing. The observation group was evaluated according to the frog field drinking water test method, and the patients with poor swallowing and cough reflex ability were screened and nursing intervention was given in advance. The incidences of aspiration, choking and aspiration pneumonia in both groups were compared. Results The incidence of cough and aspiration in observation group was significantly lower than that in control group (P <0.05). The incidence of aspiration pneumonia in observation group was significantly lower than that of control group (P <0.05). Conclusion Early frog field drinking water test evaluation method for nasopharyngeal carcinoma patients after swallowing function assessment and intervention can effectively reduce the incidence of nasopharyngeal carcinoma patients after radiation pneumonitis.