论文部分内容阅读
目的探讨胃肠道疾病患者术前不同的呼吸道准备方法对术后肺部感染的临床影响,为临床上降低术后肺部感染性并发症提供参考依据。方法选取2002年2月-2014年12月于医院行胃肠道手术患者96例作为研究对象,并将其随机分为对照组与观察组,各48例;对照组术前仅采用雾化吸入的方法,观察组术前在对照组的方法基础上进行呼吸和咳痰训练,观察两组患者术后肺部感染率,数据采用SPSS 16.0软件进行统计分析。结果对照组患者术后发生肺部感染7例,肺部感染率为14.58%;观察组患者发生肺部感染2例,肺部感染率为4.16%,两组对比差异有统计学意义(P<0.05);对照组患者发生痰阻9例、呼吸衰竭1例,观察组患者发生痰阻1例,均无呼吸衰竭发生,对照组发生率高于观察组,两组比较差异有统计学意义(P<0.05)。结论胃肠道手术术前不同呼吸道准备方法的联合使用能够很好地控制术后肺部感染性并发症的发生概率,值得临床上大力推广。
Objective To investigate the clinical effect of different preoperative respiratory preparation methods on postoperative pulmonary infection in patients with gastrointestinal diseases, and to provide a reference for clinically reducing postoperative pulmonary infection complications. Methods A total of 96 patients with gastrointestinal tract surgery in the hospital from February 2002 to December 2014 were selected as study subjects and randomly divided into control group and observation group, 48 cases in each group. In the control group, only inhalation The observation group was trained on respiration and expectoration of sputum on the basis of the control group before operation, and the lung infection rate was observed after operation. The data were analyzed by SPSS 16.0 software. Results In the control group, 7 cases of lung infection occurred after operation, the lung infection rate was 14.58%. In the observation group, 2 cases of lung infection and 4.16% of lung infection rate were found. The difference between the two groups was statistically significant (P < 0.05). In the control group, there were 9 cases of sputum respiration, 1 case of respiratory failure, 1 case of sputum obstruction occurred in observation group, no respiratory failure occurred, the incidence of control group was higher than that of observation group, the difference was statistically significant P <0.05). Conclusion The combined use of different respiratory preparation methods before gastrointestinal surgery can well control the incidence of postoperative pulmonary infectious complications and is worth promoting clinically.