胃肠道手术前不同呼吸道准备对术后肺部感染的临床研究

Clinical effects of different respiratory preparation methods before the gastrointestinal tract surgery on postoperative pulmonary respiratory infection

目的探讨胃肠道疾病患者术前不同的呼吸道准备方法对术后肺部感染的临床影响,为临床上降低术后肺部感染性并发症提供参考依据。方法选取2002年2月-2014年12月于医院行胃肠道手术患者96例作为研究对象,并将其随机分为对照组与观察组,各48例;对照组术前仅采用雾化吸入的方法,观察组术前在对照组的方法基础上进行呼吸和咳痰训练,观察两组患者术后肺部感染率,数据采用SPSS 16.0软件进行统计分析。结果对照组患者术后发生肺部感染7例,肺部感染率为14.58%;观察组患者发生肺部感染2例,肺部感染率为4.16%,两组对比差异有统计学意义(P<0.05);对照组患者发生痰阻9例、呼吸衰竭1例,观察组患者发生痰阻1例,均无呼吸衰竭发生,对照组发生率高于观察组,两组比较差异有统计学意义(P<0.05)。结论胃肠道手术术前不同呼吸道准备方法的联合使用能够很好地控制术后肺部感染性并发症的发生概率,值得临床上大力推广。

OBJECTIVE To investigate the clinical effects of different respiratory preparation methods of patients with gastrointestinal disease on preoperative pulmonary infection after surgery,so as to provide theoretical guidance for clinically reducing postoperative pulmonary infection complications.METHODS A total of 96 patients in the hospital for treatment of gastrointestinal diseases from Feb.2002 to Dec.2014 were selected,and randomly divided into control group and observation group,with 48 patients in each group.Before the surgery,patients of control group used only the inhalation method,while patients of observation group used breathing and sputum training on the basis of the inhalation method.It was observed in postoperative pulmonary infection.RESULTS Totally 7cases of postoperative pulmonary infection occurred in control group,with pulmonary infection rate of14.58%,while 2cases of postoperative pulmonary infection occurred in observation group,with pulmonary infection rate of 4.16%,and there was significant difference between the two groups（P〈0.05）.Totally 9cases of phlegm and 1case of respiratory failure occurred in control group,while 1case of phlegm and no case of respiratory failure were occurred in observation group.The complication rate of control group was higher than that of observation group（P〈0.05）.CONCLUSIONThe combined use of different respiratory preparation methods before the gastrointestinal can well control the probability of occurrence of postoperative pulmonary infection complications,which is worthy of clinical vigorously promoted.