Analysis of the causes and exploration of nursing strategies for postoperative pharyngeal fistula in laryngeal cancer patients
喉癌术后并发咽瘘的原因分析及护理策略探讨

摘要

目的 分析喉癌术后并发咽瘘的原因，并探讨相应的护理策略。方法 选取2023年8月至2024年2月在我院收治的66例喉癌手术的患者作为观察对象，随机分为对照组（33例）和观察组（33例）。观察患者术后咽瘘发生情况，分析相关因素、手术相关因素，对照组采用常规护理，观察组实施针对性护理。对比两组患者咽瘘发生率、愈合时间、患者住院时间及护理满意率。结果 观察组咽瘘发生率低于观察组，愈合时间及患者住院时间更短，护理满意度更高。其差异均有统计学意义（P<0.05）。结论 明确喉癌术后并发咽瘘的原因，实施有效的护理策略可降低咽瘘发生率，缩短愈合时间及住院时间，提高护理满意度。

Abstract

Objective To analyze the causes of postoperative pharyngeal fistula in laryngeal cancer patients and explore corresponding nursing strategies.
Methods 66 patients who underwent laryngeal cancer surgery in our hospital from August 2023 to February 2024 were selected as the observation subjects and randomly divided into a control group (33 cases) and an observation group (33 cases). Observe the occurrence of postoperative pharyngeal fistula in patients, analyze relevant factors and surgical related factors. The control group received routine nursing care, while the observation group received targeted nursing care. Compare the incidence of pharyngeal fistula, healing time, length of hospital stay, and nursing satisfaction rate between two groups of patients.
Results The incidence of pharyngeal fistula in the observation group was lower than that in the observation group, with shorter healing time and patient hospitalization time, and higher nursing satisfaction. The differences were statistically significant (P<0.05).
Conclusion   Clarifying the causes of postoperative pharyngeal fistula in laryngeal cancer patients and implementing effective nursing strategies can reduce the incidence of pharyngeal fistula, shorten healing time and hospitalization time, and improve nursing satisfaction.