围手术期应用氨溴索联合心理干预对胸腔镜下肺叶切除术后肺癌患者的作用

Perioperative application of ambroxol combined with psychological intervention in patients with lung cancer after thoracoscopic lobectomy

目的探讨围手术期应用氨溴索联合心理干预对胸腔镜下肺叶切除术后肺癌患者的作用。方法随机选取2015年6月～2016年8月在杭州师范大学附属医院进行胸腔镜下肺叶切除术的肺癌患者100例，分成实验组和对照组，各50例。对照组患者术后给予临床常规治疗，实验组患者在术后给予盐酸氨溴索并给予心理护理，对2组患者的术后并发症发生率、住院时间、住院费用、机械通气以及ICU时间等指标进行观察和分析。结果实验组患者并发症发生率为2.6%，明显低于对照组的10.0%（P＜0.05）；实验组患者的住院时间、住院费用、机械通气时间以及ICU时间等指标均优于对照组（P＜0.05）。结论在胸腔镜下肺叶切除术后肺癌患者的围手术期给予氨溴索联合心理干预，能够有效降低患者并发症发生率，缩短住院时间，减少治疗费用，促进患者的康复，临床应用效果较好。

Objective To discuss the application of peri operation period of ambroxol combined with psychological intervention on thoracoscopic lobectomy for lung cancer patients after effect.Methods100patients with lung cancer underwent thoracoscopic lobectomy from June2015to August2016in our hospital were randomly selected and divided into experimental group and control group,with50cases in each group.The control group patients received routine clinical treatment,the experimental group were given ambroxol hydrochloride and psychological nursing,the incidence rate of complications,hospitalization time and cost,mechanical ventilation and ICU time and other indicators were observed and analyzed between the two groups.Results The complication rate in the experimental group was2.6%,significantly lower than10%in the control group(P<0.05).The hospitalization time,hospitalization costs,mechanical ventilation time and ICU time in the experimental group were better than those in the control group(P<0.05).Conclusion Ambroxol combined with psychological intervention in perioperative patients with lung cancer after thoracoscopic lobectomy,can effectively reduce the incidence of complications,shorten the hospitalization time,reduce the cost of treatment,promote the rehabilitation of patients with good clinical effect.