目的探讨不同进食方式对颈部瘢痕切除松解植皮术后患者康复的影响。方法 2011年12月至2013年8月,将颈部瘢痕切除松解后行植皮手术的患者共84例,根据不同进食方式分为口食组(44例)和鼻饲组(40例)。比较两组患者体重、口腔和咽喉的舒适感、心理状况以及移植皮片的存活面积。结果术后不同时间点体重比较,口食组均高于鼻饲组(P<0.05);口食组口腔和咽喉的舒适感、心理状况均优于鼻饲组(P<0.05);两组移植皮片存活面积无显著差异(P>0.05)。结论经口进食是颈部瘢痕切除松解植皮术后患者更理想的进食途径。

Objective To investigate the effects of different feeding methods on the postoperative rehabilitation after the resection of cervical scar and skin grafting. Methods From December 2011 to August 2013, 84 patients received cervical scar resection and skin grafting were recruited and divided into oral feeding group (n=44) and nasal feeding group (n=40) according to the different feeding methods. Body weight, throat comfort, oral comfort, psychological condition and the relative skin survival area were measured and compared. Results The postoperative body weight at different time points was higher in the oral feeding group, compared with nasal feeding group (P<0.05). The throat comfort, oral comfort, psychological condition in the oral feeding group were all better than those in the nasal feeding group (P<0.05). There was no significant difference in the relative skin survival area between the two groups (P>0.05). Conclusion Oral feeding is an ideal method for the patients after cervical scar resection and skin grafting.