护理干预在预防胸腔热灌注治疗后复张性肺水肿中的应用

Application of nursing intervention in preventing reexpansion pulmonary edema after intrapleural perfusion hyperthermia treatment

[目的]探讨护理干预在预防胸腔热灌注治疗后并发复张性肺水肿中的应用效果。[方法]78例胸腔热灌注治疗病人随机分为观察组和对照组各39例,对照组进行常规护理,观察组在此基础上实行护理干预,治疗前进行有针对性的宣教,制订治疗方案和护理措施,由主管护士全程跟随热灌注治疗过程,根据治疗中血氧饱和度和生命体征调整灌注速度,加强热灌注治疗后的观察护理。[结果]观察组热灌注治疗后并发复张性肺水肿的发生率为15.38%,对照组发生率为35.90%,两组比较差异有统计学意义(P<0.05),观察组热灌注治疗后出现复张性肺水肿的治疗时间也低于对照组(P<0.05)。[结论]运用护理干预能预防减少胸腔热灌注治疗后复张性肺水肿的发生,提高胸腔热灌注的治疗和护理质量。

Objective： To probe into the application effect of nursing intervention in preventing reexpansion pulmonary edema after intrapleural perfusion hyperthermia treatment. Methods： A total of 78 cases of patients treated with intrapleural perfusion hyperthermia were randomly divided into observation group and control group,39 cases in each. The patients in control group were treated with routine nursing. The patients in observation group were treated with nursing intervention based on the routine nursing,including targeted education before treatment,making treatment regimen and nursing measures,nurses in charge to follow the whole process of intrapleural perfusion hyperthermia,adjusting the infusion speed according to the blood oxygen saturation and the vital signs during the treatment,strengthening the observation and nursing after treatment. Results： The incidence of reexpansion pulmonary edema after intrapleural perfusion hyperthermia treatment in observation group was 15. 38% and in control group was 35. 90%,the difference between two groups was statistically significant（ P〈0. 05）. The treatment time of reexpansion pulmonary edema after intrapleural perfusion hyperthermia treatment in observation group was also lower than that in control group（ P〈0. 01）. Conclusion： The nursing intervention could prevent and reduce the occurrence of reexpansion pulmonary edema after intrapleural perfusion hyperthermia treatment,and it also could improve the treatment and nursing quality of intrapleural perfusion hyperthermia.