食管癌、肺癌手术围手术期的口腔管理。

Nihon Geka Gakkai zasshi Pub Date : 2017-03-01
Takeshi Nishino, Takahiro Yoshida, Seiya Inoue, Mariko Aoyama, Hiromitsu Takizawa, Akira Tangoku, Yoshiko Yamamura, Masayuki Azuma
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引用次数: 0

摘要

围手术期口服管理在降低术后肺炎风险方面的有效性最近有报道。我们于2014年引入食管癌和肺癌围手术期口服管理,现报告我院食管癌和肺癌围手术期口服管理的现状和效果。每100例经手术治疗的食管癌和肺癌患者分为围手术期口服治疗组和不口服治疗组,并对术后并发症进行回顾性比较。在肺癌组中,与不进行口服治疗的组相比,口服治疗显著预防了术后肺炎,缩短了术后住院时间。食管癌组两组术后肺炎发生率均较低。许多食管癌患者在接受新辅助化疗后发生口腔黏膜炎,术前接受口腔护理治疗。这种治疗口腔黏膜炎可能改善口腔环境,预防术后肺炎。其他患者也被介绍到化疗前口腔护理的重要性。围手术期口服管理可预防食管癌、肺癌患者术后肺炎。
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[PERIOPERATIVE ORAL MANAGEMENT FOR ESOPHAGEAL CANCER AND LUNG CANCER SURGERY].

The effectiveness of perioperative oral management in decreasing the risk of postoperative pneumonia has been reported recently. We introduced perioperative oral management for esophageal cancer and lung cancer patients in 2014 and report here its current status and effectiveness for those patients in our institute. Every 100 cases of esophageal cancer and lung cancer patients treated surgically were classified into two groups, i.e., with or without perioperative oral management, and postoperative complications were compared retrospectively. In the lung cancer group, oral management prevented postoperative pneumonia significantly and shortened the length of hospital stays after surgery in comparison with the group without oral management. In the esophageal cancer group, there was little occurrence of postoperative pneumonia in either group. Numerous esophageal cancer patients who received neoadjuvant chemotherapy developed oral mucositis and received oral care treatment before surgery. Such treatment for oral mucositis likely improved the oral environment and prevented postoperative pneumonia. Other patients have also been introduced to the importance of oral care before chemotherapy. Perioperative oral management can prevent postoperative pneumonia in esophageal cancer and lung cancer patients.

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[NEXT STAGE OF NATIONAL CLINICAL DATABASE]. [RELATIONSHIP BETWEEN SURGICAL PROCEDURES AND THEIR SURGEON’S FEE]. [PERIOPERATIVE ORAL MANAGEMENT FOR ESOPHAGEAL CANCER AND LUNG CANCER SURGERY]. [BASIC RESEARCH BY SURGEONS]. [WHAT IS MENTAL PREPARATION OF LEADER TO ACHIEVE GENDER EQUALITY OF IDEAL]?
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