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目的：探讨优质护理在心胸外科中老年患者围手术期的应用效果。方法以收治的146例心胸外科手术老年患者为研究对象，采用数字表法随机分为对照组和观察组，对照组采用常规护理，观察组采用围手术期优质护理。观察两组患者焦虑抑郁评分，比较术后并发症。结果观察组焦虑、抑郁评分（43．43±3．63、24．58±2．0）、术后并发症发生率（5．18％）均明显低于对照组（57．18±4．51、49．51±3．13、33．14％）。结论优质护理有助于缓解患者负面情绪，降低术后并发症，提高治疗效果。“,”Objective To study applicaton effect of high quality care in perioperative of elderly patients with cardio-thoracic surgery.Methods 146 cases elderly patients with cardiothoracic surgery were divided into control group and ob-servation group, control group given conventional care, observation group given perioperative high quality nursing.Anxi-ety, depression score, postoperative complications were compared between two groups.Results Observation group anxi-ety and depression score (43.43 ±3.63, 24.58 ±2.0), postoperative complications (5.18%) were significantly lower than control group(57.18 ±4.51, 49.51 ±3.13, 33.14%).Conclusions High quality nursing care help to reduce negative emotions and postoperative complications, improve treatment effect.