PDF(Pubmed)
Abstract：
UNASSIGNED: Numerous studies have shown that improving oral hygiene contributes to a reduction in the risk of postoperative complications in patients with head and neck cancer, cardiac disease, and esophageal cancer. However, the beneficial standard for oral management procedures during the perioperative period has not yet been established. Therefore, our aim was to determine whether or not their innovative oral management intervention contributed to a reduction in postoperative complications in lung cancer.
UNASSIGNED: We performed a retrospective analysis of medical records of patients who underwent lung cancer surgery with lobectomy and pneumonectomy at Kyorin University Hospital. Patients were divided into 2 groups: a perioperative oral management intervention group that underwent lung cancer surgery from April 2016 to March 2018 (n = 164), and a control group without oral management that underwent surgery from April 2014 to March 2016 (n = 199). In particular, our oral management procedure emphasized oral mucosa stimulation to induce saliva discharge as in gum chewing, rather than simply using teeth brushing to reduce oral microbiome. Therefore, our oral management procedure is different from traditional oral care.
UNASSIGNED: This study demonstrated that our oral management practice was associated with a decline in the occurrence of postoperative pneumonia (odds ratio, 0.184; 95% CI, 0.042-0.571; P = .009), postoperative hospital stay duration (β coefficient, -4.272; 95% CI, -6.390 to -2.155; P < .001) and Clavian-Dindo classification grade II or above (odds ratio, 0.503; 95% CI, 0.298-0.835; P = .009).
UNASSIGNED: We propose an innovative new strategy using their unique oral management procedure to reduce postoperative complications resulting from pulmonary resection.
UNASSIGNED: We performed a retrospective analysis of medical records of patients who underwent lung cancer surgery with lobectomy and pneumonectomy at Kyorin University Hospital. Patients were divided into 2 groups: a perioperative oral management intervention group that underwent lung cancer surgery from April 2016 to March 2018 (n = 164), and a control group without oral management that underwent surgery from April 2014 to March 2016 (n = 199). In particular, our oral management procedure emphasized oral mucosa stimulation to induce saliva discharge as in gum chewing, rather than simply using teeth brushing to reduce oral microbiome. Therefore, our oral management procedure is different from traditional oral care.
UNASSIGNED: This study demonstrated that our oral management practice was associated with a decline in the occurrence of postoperative pneumonia (odds ratio, 0.184; 95% CI, 0.042-0.571; P = .009), postoperative hospital stay duration (β coefficient, -4.272; 95% CI, -6.390 to -2.155; P < .001) and Clavian-Dindo classification grade II or above (odds ratio, 0.503; 95% CI, 0.298-0.835; P = .009).
UNASSIGNED: We propose an innovative new strategy using their unique oral management procedure to reduce postoperative complications resulting from pulmonary resection.
摘要：
UNASSIGNED：许多研究表明，改善口腔卫生有助于降低头颈部癌症患者术后并发症的风险，心脏病,还有食道癌.然而,围手术期口腔管理程序的有益标准尚未建立.因此,我们的目的是确定他们的创新口腔管理干预措施是否有助于减少肺癌术后并发症.
UNASSIGNED：我们对在京林大学医院接受肺叶切除术和全肺切除术的肺癌患者的病历进行了回顾性分析。将患者分为两组：2016年4月至2018年3月接受肺癌手术的围手术期口腔管理干预组（n=164），和2014年4月至2016年3月接受手术的未口服治疗的对照组(n=199).特别是,我们的口腔管理程序强调口腔粘膜刺激，以诱导唾液排出，如口香糖咀嚼，而不是简单地使用刷牙来减少口腔微生物组。因此,我们的口腔管理程序不同于传统的口腔护理。
UNASSIGNED：这项研究表明，我们的口腔管理实践与术后肺炎发生率的下降有关（比值比，0.184；95%CI，0.042-0.571；P=.009），术后住院时间(β系数，-4.272；95%CI，-6.390至-2.155；P<.001）和Clavian-Dindo分类等级II级或以上（赔率比，0.503；95%CI，0.298-0.835；P=.009）。
UNASSIGNED：我们提出了一种创新的新策略，利用其独特的口腔管理流程来减少肺切除术后的并发症。
UNASSIGNED：我们对在京林大学医院接受肺叶切除术和全肺切除术的肺癌患者的病历进行了回顾性分析。将患者分为两组：2016年4月至2018年3月接受肺癌手术的围手术期口腔管理干预组（n=164），和2014年4月至2016年3月接受手术的未口服治疗的对照组(n=199).特别是,我们的口腔管理程序强调口腔粘膜刺激，以诱导唾液排出，如口香糖咀嚼，而不是简单地使用刷牙来减少口腔微生物组。因此,我们的口腔管理程序不同于传统的口腔护理。
UNASSIGNED：这项研究表明，我们的口腔管理实践与术后肺炎发生率的下降有关（比值比，0.184；95%CI，0.042-0.571；P=.009），术后住院时间(β系数，-4.272；95%CI，-6.390至-2.155；P<.001）和Clavian-Dindo分类等级II级或以上（赔率比，0.503；95%CI，0.298-0.835；P=.009）。
UNASSIGNED：我们提出了一种创新的新策略，利用其独特的口腔管理流程来减少肺切除术后的并发症。
