老年腹部手术患者全麻术后肺部感染的预防策略及护理进展

Prevention Strategy and Nursing Progress of Pulmonary Infection after General Anesthesia for Abdominal Operation in Elderly Patients

目的分析老年腹部手术患者全麻术后肺部感染的预防策略及护理进展。方法将2015年7月—2016年8月期间在该院接受腹部手术治疗的88例老年患者作为研究对象,采取抽签分组法随机分成A组和B组,每组44例。A组实施综合性护理,B组采取常规护理。比较两组患者术后胃肠功能恢复指标、并发症发生情况及生活质量。结果 A组患者术后肠鸣音恢复时间(14.25±4.63)h、首次排气时间(21.22±4.64)h、首次排便时间(34.58±4.59)h以及术后肺部感染、切口感染、下肢深静脉血栓发生率(均为2.27%)和术后1个月心理功能评分(86.64±3.58)分、躯体功能评分(88.67±2.52)分、社会功能评分(90.53±2.20)分、物质生活评分(89.69±2.52)分均优于B组数据,差异有统计学意义(P<0.05)。结论对老年全麻腹部手术患者采取综合性护理干预可预防肺部感染,同时还能减少其他并发症,促进胃肠道功能恢复,使生活质量提高。

Objective This paper tries to explore the prevention strategy and nursing progress of pulmonary infection in elderly patients undergoing abdominal surgery with general anesthesia. Methods 88 cases of elderly patients with abdominal surgery in this hospital from July 2015 to August 2016 were selected and divided into group A and group B by drawing method, with 44 cases in each group. Group A adopted comprehensive nursing care, group B was given routine nursing care. The recovery index of gastrointestinal function, complications and quality of life of the two groups after operation were compared. Results The recovery time of bowel sound in patients of group A was（14.25±4.63）h, the first exhaust time of（21.22±4.64）h, the first defecation time of（34.58±4.59）h and pulmonary infection, incision infection, the incidence of deep venous thrombosis of lower extremity was（2.27%） and one month after the operation of mental function score was（86.64±3.58）points, physical function score was（88.67±2.52）points, social function score of（90.53±2.20）points, material life score of（89.69±2.52）points, better than that of group B The difference stotis tically significant（P0.05）. Conclusion Comprehensive nursing intervention on elderly patients undergoing abdominal operation can prevent pulmonary infection, reduce complications, promote gastrointestinal function recovery, and improve their life quality.