肺癌术后72 h内呼吸道强化管理的应用效果

Application effect of intensive respiratory tract management within 72 hours after lung cancer operation

目的观察肺癌术后患者实施呼吸道强化管理的效果。方法选取160例肺癌患者作为研究对象,按照患者住院时间将其分为观察组(n=100)和对照组(n=60)。两组患者肺癌术后均住重症监护室进行观察、护理,对照组给予常规护理,包括吸氧吸痰、随时翻身叩背、体温监测等。观察组强化上述护理措施并强化呼吸道管理。比较两组患者症状、体征、并发症发生情况及护理总有效率。结果两组患者胸腔积液发生率比较,差异无统计学意义(P>0.05)。观察组患者呼吸困难、咳嗽咳痰、痰鸣音、肺炎、肺不张发生率明显低于对照组,差异具有统计学意义(P<0.05)。观察组护理总有效率为96.00%,显著高于对照组的85.00%,差异具有统计学意义(P<0.05)。结论肺癌患者术后72 h内呼吸道强化管理可明显减少肺癌患者术后并发症,确保手术成功,促进术后恢复。

Objective To investigate the effect of intensive respiratory tract management in patients with after lung cancer operation. Method A total of 160 patients with lung cancer were selected as the study objects, and they were divided into observation group(n=100) and control group(n=60) according to the time of hospitalization. Patients in both groups were given observation and nursing in intensive care unit after operation, the control group was given routine nursing, included oxygen inhalation, sputum aspiration, turning over and knocking back at any time, temperature monitoring and so on, while the observation group strengthened the above nursing measures and respiratory tract management. The incidences of symptoms, signs, complications and total effective rates of nursing in the two groups were compared. Results There was no significant difference in the incidence of pleural effusion between the two groups(P>0.05). The incidences of dyspnea, cough and expectoration, wheezy phlegm, pneumonia, atelectasis after operation in the observation group were significantly lower than those in the control group, and the differences were statistically significant(P <0.05). The total effective rate of nursing in the observation group was 96.00%, which was significantly higher than 85.00% in the control group, the difference was statistically significant(P <0.05). Conclusion Intensive respiratory tract management within 72 hours after lung cancer operation can significantly reduce the occurrence of complications after lung cancer, and ensure the success of the operation and promote the recovery of patients after operation.