呼吸道集束化管理在食管癌Ivor-Lewis术后患者中的应用

Application of the bundle management of respiratory tract in patients with esophageal cancer after Ivor-Lewis operation

目的:探讨呼吸道集束化管理在食管癌Ivor-Lewis术后患者中的应用方法及效果。方法:将117例食管癌Ivor-Lewis术后患者随机分为干预组58例和对照组59例,对照组采用传统护理方法,干预组实施呼吸道集束化管理,比较两组护理效果。结果:两组呼吸监测指标、肺部并发症发生率、呼吸机支持时间及入住ICU时间比较差异均有统计学意义(P<0.05,P<0.01)。结论:呼吸道集束化管理可改善呼吸监测指标,降低食管癌Ivor-Lewis术后患者的肺部并发症发生率,缩短呼吸机支持时间和入住ICU时间。

Objective： To explore the application method and effect of the bundle management of respiratory tract in patients with esophageal cancer after Ivor- Lewis operation. Methods： 117 patients undergoing Ivor- Lewis operation on esophageal cancer were randomly divided into the intervention group（ n = 58） and the control group（ n = 59）. The routine nursing method was used in the control group and the bundle management of respiratory tract was implemented in the intervention group,the nursing effect was compared between the two groups. Results：There were statistically significant differences in the comparison of the respiratory monitoring indexes,the incidence of pulmonary complications,the time of ventilation support and the time of stay in ICU between the two groups（ P〈0. 05,P〈0. 01）. Conclusion： Application of the bundle management of respiratory tract can improve respiratory monitoring indexes and reduce the incidence of pulmonary complications in patients with esophageal cancer after Ivor- Lewis operation and it can shorten the time of ventilation support and stay in ICU.