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目的探讨肠道肿瘤合并慢性阻塞性肺疾病术后肺部并发症的预防及护理的方法及效果。方法选择从2015年5月—2016年4月在我院接受手术治疗的肠道肿瘤合并慢性阻塞性肺疾病患者60例,随机分成观察组和对照组,每组各30例。对照组行常规护理,观察组行针对性的预防及护理。观察并记录两组肺部并发症的发生情况及护理满意度。结果观察组胸腔积液、肺不张、肺炎的发生率分别为13.33%、6.67%、3.33%,分别低于对照组的30.00%、26.77%、20.00%,差异均具有统计学意义(P<0.05)。观察组护理满意度为86.67%,高于对照组的70.00%,差异具有统计学意义(P<0.05)。结论针对性的预防及护理可显著减少肠道肿瘤合并慢性阻塞性肺疾病患者术后肺部并发症,提高护理满意度。
Objective To investigate the methods and effects of prevention and nursing of pulmonary complications after intestinal tumor complicated with chronic obstructive pulmonary disease. Methods Sixty patients with intestinal tumor complicated with chronic obstructive pulmonary disease who underwent surgery in our hospital from May 2015 to April 2016 were randomly divided into observation group and control group with 30 cases in each group. Control group routine nursing, observation group targeted prevention and care. Observe and record the incidence of pulmonary complications and nursing satisfaction in both groups. Results The incidences of pleural effusion, atelectasis and pneumonia in observation group were 13.33%, 6.67% and 3.33%, respectively, which were lower than those in control group by 30.00%, 26.77% and 20.00%, respectively, with statistical significance (P < 0.05). The nursing satisfaction of the observation group was 86.67%, which was higher than that of the control group (70.00%), the difference was statistically significant (P <0.05). Conclusion Targeted prevention and care can significantly reduce postoperative pulmonary complications in patients with intestinal tumor complicated with chronic obstructive pulmonary disease and improve nursing satisfaction.