【摘要】 目的探讨喉癌术后口腔pH值动态变化与并发症的关系,寻找有效的护理对策。方法将喉癌术后口腔pH值异常的90例患者随机分为A组、B组和C组各30例。3组在术后9d禁食期间进行口腔护理和漱口液漱口。A组采用生理盐水漱口和口腔护理:B组采用生理盐水漱口加2%碳酸氢钠液口腔护理;C组采用口泰漱口加2%碳酸氢钠液口腔护理。分别在6:00、10: 00、14:00、22:00口腔护理前后测定pH值。观察口腔pH值动态变化和口腔并发症的关系,比较3组口腔护理效果。结果喉癌术后禁食期间口腔pH值处于酸性状态(pH值4.1-5.8);pH值异常与口腔感染关系密切;C组口腔护理后口腔唾液pH值明显大于B组(P<0.01),口腔并发症和微生物菌落数明显少于B组(P<0.01)。结论喉癌术后口腔pH值为酸性状态,定时口泰漱口配合2%碳酸氢钠液口腔护理可有效纠正口腔pH值异常,预防喉癌术后口腔感染等并发症发生。更多还原

【Abstract】 Objective To explore the relation between dynamic changes of oral pH and complication following laryngectomy on the larynx cancer patients and seek effective nursing countermeasure.Methods The 90 larynx cancer cases with abnormal oral pH after laryngectomy had been divided randomly into three groups:control group(groupA.30cases),observation group B & C(each for30 cases).Three teams all had been done oral toilet four times per day and gargle six times perday from first day to ninth day in the fasting period after operation.The control group chose 0.9%normal sailine for gargle and oral toilet; The observation group B gargle done with 0.9%normal sailine and oral toilet used by the 2%soda solution,group C chose koll Tai for gargle and 2%soda solution for oral toilet.The oral pH had been measured before and after oral toilet in the early morning,morning,afternoon and before sleeping time.To observe the relation between.dynamic changes of oral pH and oral complication and compare the effects of oral toilet on the three groups.Results In the fasting period after laryngectomy ,the oral pH was in acid condition(pH4.1-5.8);The oral infection was closely related to abnormal pH;after oral toilet,the oral pH of group C was obviously higher than group B(P<0.01),but the oral complication and microorganism colonies count were clearly lower than group B(P<0.01).Conclusions The oral pH is in acid condition after laryngectomy of larynx cancer patients,timingly done the gargle with koll Tai and oral toilet with the 2%soda solution can effectively change the oral abnormal PH and prevent from oral infection.更多还原