全麻气管插管腹部手术患者肺部感染的预见性护理

Predictive nursing on prevention of lung infection after abdominal surgery with anesthesia intubation

目的 探讨对全麻插管腹部手术后实施预见性护理预防患者肺部感染的效果.方法 采用随机数字表法将190例进行全麻插管的妇科手术患者分为观察组和对照组,两组各95例,观察组患者采用预见性护理措施预防肺部感染,对照组采用一般护理措施,比较两组肺部感染发生率.结果 观察组肺部感染发生率为1.05％,对照组为8.42％,两组比较差异有统计学意义（x2=5.72,P＜0.05）.结论 对全麻插管的腹部手术后患者采用预见性护理可减少院内获得性肺部感染的发生.

Objective To explore clinical effect of predictive nursing on prevention of lung infection after abdominal surgery with anesthesia intubation in Gynecology department.Meethods Totals of 190 cases of abdominal surgery patients with anesthesia intubation were divided into observation group （n =95） and control group （n =95） randomly.Patients in observation group were treated by using predictive nursing,and control group were treated general care measures.The lung infection morbidity between two groups were observed and compared.Results The lung infection morbidity in observation group and control group was 1.05％ （1/95）and 8.42％ （8/95）,respectively,and the difference was statistically significant （x2 =5.72,P ＜ 0.05）.Conclusions Predictive nursing intervention on prevention of lung infection after abdominal surgery with anesthesia intubation can reduce the occurrence of hospital acquired pulmonary infection.