Nishino Takeshi, Takizawa Hiromitsu, Yoshida Takahiro, Inui Tomohiro, Takasugi Haruka, Matsumoto Daisuke, Kawakita Naoya, Inoue Seiya, Sakiyama Shoji, Tangoku Akira, Azuma Masayuki, Yamamura Yoshiko
Department of Thoracic, Endocrine Surgery and Oncology, Tokushima University, Tokushima, Japan.
Kyobu Geka. 2016 Jan;69(1):30-4.
The effectiveness of perioperative oral health care management to decrease the risk of postoperative pneumonia have been reported lately. Since 2014, we introduced perioperative oral health care management for lung cancer and esophageal cancer patients. We report current status and effectiveness of perioperative oral health care management for lung cancer and esophageal cancer patients. Every 100 cases of lung cancer and esophageal cancer patients treated by surgery were classified 2 group with or without perioperative oral health care management and compared about postoperative complications retrospectively. In the lung cancer patients, the group with oral health care management could prevent postoperative pneumonia significantly and had shorter length of hospital stay than the group without oral health care management. In the esophageal cancer patients, there was little occurrence of postoperative pneumonia without significant difference between both group with or without oral health care management. A large number of esophageal cancer patients received neo-adjuvant chemotherapy and some patients developed oral mucositis and received oral care treatment before surgery. Treatment for oral mucositis probably improved oral environment and affected prevention of postoperative pneumonia. Perioperative oral health care management can prevent postoperative pneumonia of lung cancer and esophageal cancer patients by improvement of oral hygiene.
近期有报道称围手术期口腔保健管理对于降低术后肺炎风险具有有效性。自2014年起，我们对肺癌和食管癌患者引入了围手术期口腔保健管理。我们报告肺癌和食管癌患者围手术期口腔保健管理的现状及有效性。将每100例接受手术治疗的肺癌和食管癌患者分为两组，一组接受围手术期口腔保健管理，另一组未接受，回顾性比较两组的术后并发症情况。在肺癌患者中，接受口腔保健管理的组能够显著预防术后肺炎，且住院时间比未接受口腔保健管理的组更短。在食管癌患者中，术后肺炎的发生率较低，接受和未接受口腔保健管理的两组之间无显著差异。大量食管癌患者接受了新辅助化疗，部分患者出现口腔黏膜炎并在手术前接受了口腔护理治疗。口腔黏膜炎的治疗可能改善了口腔环境，并对预防术后肺炎产生了影响。围手术期口腔保健管理可通过改善口腔卫生来预防肺癌和食管癌患者的术后肺炎。
