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目的探讨呼吸道护理对肺癌患者术后康复效果的影响。方法选取2015年5月至2016年2月间四川大学华西医院重症医学科(ICU)收治的80例肺癌手术患者,采用随机数表法分为观察组和对照组,每组40例。观察组患者在常规护理的基础上强化呼吸道护理,对照组患者给予常规护理,比较两组患者的排痰效果、康复情况及肺部感染率。结果观察组患者护理第2d、第4d和第6d时的排痰量均多于对照组患者,痰液粘稠程度优于对照组患者,差异有统计学意义(P<0.05)。观察组患者护理第6d时的呼吸困难评分,护理第2d、第4d和第6d时的急性生理与慢性健康评分(APACHEⅡ评分)及肺部感染率均低于对照组患者,差异均有统计学意义(均P<0.05)。结论呼吸道护理能改善肺癌患者术后的排痰效果,促进呼吸道通畅,降低肺部感染率,故临床上应在肺癌患者术后加强呼吸道护理。
Objective To investigate the effect of respiratory care on postoperative rehabilitation of lung cancer patients. Methods Eighty patients with lung cancer admitted to the Department of Critical Care Medicine (ICU) of West China Hospital of Sichuan University from May 2015 to February 2016 were randomly divided into observation group and control group with 40 cases in each group. Patients in the observation group were given intensive care of the respiratory system on the basis of routine nursing care while patients in the control group were given routine nursing care. Their sputum eradication, rehabilitation and lung infection rates were compared between the two groups. Results In the observation group, the sputum volume was significantly higher on the 2nd, 4th and 6th day than that of the control group, and the sputum viscosity was better than that of the control group (P <0.05). The scores of dyspnea on the 6th day, the acute physiology and chronic health score (APACHEⅡscore) and the pulmonary infection rate on the 2nd, 4th and 6th day of nursing in the observation group were lower than those in the control group, the differences were statistically significant Significance (all P <0.05). Conclusion Respiratory care can improve the expectoration effect of postoperative lung cancer patients, promote airway patency and reduce the rate of lung infection. Therefore, respiratory care should be strengthened in patients with lung cancer after surgery.