肺部手术患者术前药物加温雾化吸入的疗效观察

Observation of the effect of preoperative warm drug oxygen atomization aspirate in lung surgery

目的探讨肺部手术患者术前药物加温氧驱动雾化吸入对术后胸腔闭式引流拔管时间、吸氧时间及术后并发症的影响。方法将92例肺部手术患者随机分为观察组(n=46例)和对照组(n=46例),除常规治疗外,观察组术前3天始药物加温氧驱动雾化吸入至术后5天停止,对照组仅术后5天同法雾化吸入;分别将两组术后胸腔闭式引流拔管时间、吸氧时间及并发症进行比较。结果观察组较对照组拔管时间、吸氧时间明显缩短(P<0.01),并发症显著减少(P<0.05),差别有显著性意义。结论术前预防性温药物氧驱动雾化吸入可有效消除隐匿性呼吸道炎症,提高呼吸系统的应激能力,促进肺复张,减少肺部并发症。

Objective To study the effect of preoperative warm drug oxygen atomization aspirate in the time of pulling out the closing pattern tube, inhaling oxygen and its postoperative complications. Methods 92 cases of lung surgery patients were randomly divid- ed into two groups ： the observer group （ n = 46） and the control group （ n = 46）. Except for the routine cure, warm drug oxygen atomization aspirate was used in the observer group three days before the operation and in the control group it was used only five days later. Then the time of pulling out the closing pattern tube, inhaling oxygen and the postoperative complications of the two groups were compared. Resuits The time of pulling out the closing pattern tube and inhaling oxygen of the observer group was obviously shorter than that of the control group. （ P 〈 0. 01 ）. The postoperative complications in the observer group were less than the control group（ P 〈 0. 05 ）. Conclusion Preoperative warm drug oxygen atomization aspirate could availably avoid the occult respiratory inflammation, improve the respiration system ability under acute stress, accelerate the recruitment maneuver, and decrease the postoperative complications.