首页|快速康复外科干预在口腔癌术后口腔皮瓣修复术患者中的应用效果

快速康复外科干预在口腔癌术后口腔皮瓣修复术患者中的应用效果

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目的 探讨快速康复外科(FTS)干预在口腔癌术后口腔皮瓣修复术患者中的应用效果.方法 将2019年1月至2020年5月接受常规干预的49例口腔癌术后口腔皮瓣修复术患者纳入常规组,2020年6月至2022年1月接受FTS干预的49例口腔癌术后口腔皮瓣修复术患者纳入FTS组.比较两组患者的手术相关指标、疼痛程度[视觉模拟评分法(VAS)]、吞咽功能及并发症发生情况.结果 FTS组患者引流管拔除时间、恢复进食时间、卧床时间、输液时间、住院时间均明显短于常规组(P<0.01).术后6、24、48、72h,FTS组患者的VAS评分均明显低于常规组(P<0.01).术后2周,FTS组患者的吞咽功能明显优于常规组(P<0.01).FTS组患者的术后并发症总发生率低于常规组(P<0.05).结论 FTS干预可促进口腔癌术后口腔皮瓣修复术患者快速恢复,降低疼痛程度及并发症发生率,改善吞咽功能.
Application effect of fast track surgery intervention in patients with oral flap repair after oral cancer surgery
Objective To explore the application effect of fast track surgery(FTS)intervention in patients with oral flap repair after oral cancer surgery.Method Forty-nine patients with oral flap repair after oral cancer surgery who re-ceived conventional intervention from January 2019 to May 2020 were included in the conventional group,and forty-nine patients with oral flap repair after oral cancer surgery who received FTS intervention from June 2020 to January 2022 were included in the FTS group.The surgery-related indexes,pain degree[visual analogue scale(VAS)],swallowing func-tion and complications were compared between the two groups.Result The drainage tube removal time,feeding time,bed rest time,infusion time and hospital stay in the FTS group were significantly shorter than those in the conventional group(P<0.01).At 6,24,48 and 72 h after surgery,the VAS scores in the FTS group were significantly lower than those in the conventional group(P<0.01).Two weeks after surgery,the swallowing function of the FTS group was significantly better than that of the conventional group(P<0.01).The total incidence of postoperative complications in the FTS group was lower than that in the conventional group(P<0.05).Conclusion FTS intervention can promote the recovery of pa-tients with oral flap repair after oral cancer surgery,reduce pain degree and complications,and improve swallowing func-tion.

oral canceroral flap repair surgeryfast track surgerypain degreeswallowing function

朱丽君、陈涛、张炜、陈恒

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郑州大学第一附属医院口腔颌面外科,郑州 450000

口腔癌 口腔皮瓣修复术 快速康复外科 疼痛程度 吞咽功能

河南省医学科技攻关计划联合共建项目

LHGJ20190190

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(3)