高频率叩背结合手法按压对肺叶切除术患者排痰与并发症的影响

Effect of high frequency tapping and pressing on sputum excretion and complications in patients undergoing thoracoscopic lobectomy

目的探讨高频率叩背结合手法按压应用于胸腔镜肺叶切除术患者对排痰效果和并发症的影响。方法选取100例行胸腔镜肺叶切除术的患者,患者抽签时间段为2016年1月到2018年12月,将患者随机分组,其中50例纳入对照组实施常规护理干预,另外50例纳入观察组采用高频率叩背结合手法按压护理干预,对两组患者的临床指标及并发症发生率进行比较。结果对患者临床指标进行比较后可知,观察组患者的护理效果明显优于对照组,差异具有统计学意义(P<0.05);对比后可知,观察组患者的并发症发生率为2.0%,明显低于对照组(14.0%),差异具有统计学意义(P<0.05)。结论对行胸腔镜肺叶切除术患者实施高频率叩背结合手法按压护理干预,能加大患者排痰量,有效改善临床指标,减少并发症的发生,患者对护理效果较为满意,极具临床推广价值。

Objective To investigate the effect of high frequency tapping combined with manual pressure on sputum excretion and complications in patients undergoing thoracoscopic lobectomy.Methods 100 patients who underwent thoracoscopic lobectomy were selected.The drawing time of the patients was from January 2016 to December 2018.The patients were divided into different nursing intervention methods.Among them,50 cases were included in the control group for routine nursing intervention,and the other 50 cases were included in the observation group with high frequency back tapping combined with manual pressing nursing intervention.The clinical indexes and the incidence of complications between the two groups were compared.Results The clinical indexes of the patients were compared.After that,the result of observation group was obviously better than that of control group,the difference was statistically significant(P<0.05).After comparison,the incidence of complications in the observation group was 2.0%,which was significantly lower than that in the control group(14.0%),the difference was statistically significant(P<0.05).Conclusion The nursing intervention of the patients undergoing thoracoscopic lobectomy can increase the amount of sputum discharge,improve the clinical indexes,and reduce the incidence of complications.The nursing effect of the patients is satisfactory,and the nursing effect of the patients is satisfactory,and the nursing effect of the patients is satisfactory,and the nursing effect of the patients is satisfactory.It is of great value in clinical popularization.