加强呼吸道管理在胸外科围手术期护理中的应用

Application of strengthening respiratory tract management in the nursing of perioperative thoracic surgery

目的 探讨加强呼吸道管理在胸外科围手术期护理中的应用效果.方法 选择76例胸外科择期手术住院的患者,按入院的先后顺序随机分为两组（观察组和对照组）,每组各38例,对照组患者采用胸外科手术常规护理,观察组患者在对照组的基础上加强呼吸道管理,观察两组患者肺功能改善情况,比较两组术后并发症和出院时间.结果 术后观察组肺功能改善情况明显优于对照组（P＜0.05）,对照组术后并发症的发生率高于观察组（P＜0.05）,且观察组的住院时间较对照组短（P＜0.05）.结论 加强呼吸道管理在在胸外科手术的术前准备和术后护理占有重要的地位,良好的呼吸道护理可改善患者肺功能,降低了术后呼吸系统并发症的发生和缩短了住院时间,能促进患者早日康复,应在临床护理中推广应用.

Objective To discuss the application effect of strengthening the respiratory tract management in the nursing of the preoperative thoracic surgery. Methods We chose 76 hospitalized patients for elective surgery from thoracic surgery department, according to the order of admission they were randomly divided into two groups （observation group and control group）, 38 cases for each group. The control group was treated with the routine care of thoracic surgery, and nursed by the conventional care of strengthening the respiratory tract, the observation group was nursed by the strengthening l^spiratory tract on the basis of thecontrol group. And we observed the situation of the lung function improvement, and compared postoperative complications and discharges. Results Postoperative lung function improvement of the observation group was better than that of the control group （P 〈 0.05）, the incidence of postoperative complications of the control group was higher than that of the observation group （P 〈 0.05）, the hospitalization of the observation group was shorter than that of the control group （P 〈 0.05）. Conclusions Strengthening the respiratory tract plays an important role in the thoracic surgery preoperative preparation and postoperative care, good respiratory care can improve lung function and reduce the incidence of postoperative respiratory complications and shorten hospital stay, and promote patients＇ recovery, which should be widely applied in clinical nursing care.