摘要目的：探讨不同护理方法对喉癌患者术后呃逆防控的临床效果。方法以本院2014年8月1日至2015年8月1日期间收治的158例喉癌手术患者为研究对象，随机分为两组，第Ⅰ组心理护理+基础护理组，第Ⅱ组为基础护理组，每组79例。所有患者的饮食、鼻饲操作、套管固定、吸痰操作及化痰药使用均统一作为基础护理。心理护理组所有患者接受心理护理+基础护理，普通观察组仅使用基础护理进行观察。经术后15 d护理对比分析两组患者呃逆次数及持续时间，窒息次数及窒息时间，感染患者人数、患者术部出血次数及套管脱管次数。结果经过对两组患者术后相关指标统计分析，与第Ⅱ组相比，第Ⅰ组患者经过心理护理术后平均脾气暴躁次数(4±2.1)次、患部平均感染率(2.5%)、平均出血次数(4.2±2.1)次、患者术后平均窒息次数(2.1±1.3)次、术后患者整体发生呃逆人数及平均呃逆次数(2.1±0.8)次均显著低于第Ⅱ组基础护理组，差异有统计学意义(P<0.05)，但是两组患者中发生呃逆患者的呃逆持续时间差异无统计学意义。结论心理护理通过降低患者抑郁心理及脾气暴躁频率，从而提高了基础护理的效果，不仅降低了患者的呃逆次数，同时有效提高了患者术后的康复程度，减少了因患部感染及窒息现象导致术后患者生命危机现象。

abstractsObjective To investigate the clinical effects of different methods of care for the prevention and control of hiccups after surgery. Methods A total of 158 cases of laryngeal cancer patients treated in our hospital from August 1, 2014 to August 1, 2015 were selected as the research objects and randomly divided into two groups, 79 ca-ses in each group. GroupⅠwas given psychological care combined with primary care, while Group Ⅱwas only given the primary care. The primary care included all the patientsˊdiet, visiting times, feeding operations, casing fixed, suc-tion operation and phlegm drug use. All the patients of the psychological group received psychological care combined with primary care, while the general observation group were only given the basic care. After 15 daysˊpostoperative care, the frequency and the duration of hiccups, times of choking and suffocation, the number of the infected patients, the times of bleeding of patients and the times of casing unit detached of the two groups were compared. Results The related indi-cators after surgery of the two groups were analyzed compared with Group Ⅱ, the average infection rate, the average time of bleeding, the average time of suffocation after operation, the number of the patients with hicupps of GroupⅠaf-ter psychological care were (4±2. 1), 2. 5 %, (4. 2±2. 1) , (2. 1±1. 3) and (2. 1±0. 8) respectively, which were significantly lower than that of Group Ⅱ, and the differences were significantly significant ( P<0. 05 ) , but there were no statistical significance in terms of the differences for the duration of hiccups between the two groups. Conclusion The psychological care reduced the frequency of depression and dysphoria. Thereby, it can improve the effectiveness of primary care of patients, reduce the frequency of hiccup of patients, improve the rehabilitation degree of patients after surgery and reduce the life crisis of patients after surgey caused by infections and asphyxia.