Nishino Takeshi, Yoshida Takahiro, Inoue Seiya, Aoyama Mariko, Takizawa Hiromitsu, Tangoku Akira, Yamamura Yoshiko, Azuma Masayuki
Nihon Geka Gakkai Zasshi. 2017 Mar;118(2):155-60.
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.
近期有报道称围手术期口腔管理在降低术后肺炎风险方面具有有效性。我们于2014年对食管癌和肺癌患者引入了围手术期口腔管理，并在此报告我院这些患者的当前情况及该管理的有效性。每100例接受手术治疗的食管癌和肺癌患者被分为两组，即接受或未接受围手术期口腔管理，对术后并发症进行回顾性比较。在肺癌组中，与未进行口腔管理的组相比，口腔管理显著预防了术后肺炎，并缩短了术后住院时间。在食管癌组中，两组术后肺炎的发生率均较低。许多接受新辅助化疗的食管癌患者出现了口腔黏膜炎，并在手术前接受了口腔护理治疗。这种针对口腔黏膜炎的治疗可能改善了口腔环境并预防了术后肺炎。其他患者也已了解到化疗前口腔护理的重要性。围手术期口腔管理可预防食管癌和肺癌患者的术后肺炎。
