肺部阴影患者CT引导下经皮肺穿刺活检术诊断中细节护理的应用分析

Application of detailed nursing care in diagnosis of pulmonary shadow patients by CT-guided percutaneous lung biopsy

目的探究肺部阴影患者CT引导下经皮肺穿刺活检术诊断中细节护理的应用分析。方法选取2018年1月至2020年1月本院收治CT引导下经皮肺穿刺活检术的肺部阴影患者共60例,将所选患者随机分为两组,各30例。对照组采用常规护理,研究组在常规护理基础上采用细节方式。对两组患者肺部功能、护理前后圣乔治呼吸问卷调查、气胸、发烧等并发症情况进行比较。结果研究组不良反应发生率为16.7%,显著低于对照组63.3%,差异有统计学意义(P<0.05);治疗前,两组患者肺功能比较,差异均无统计学意义(均P>0.05);治疗后,研究组FEV1、FEV1%、FEV1%/FVC、6MWT指标均显著高于对照组,差异均有统计学意义(均P<0.05);护理前,两组患者各项评分比较,差异均无统计学意义(均P>0.05);护理后,研究组呼吸症状、疾病影响、活动度、总分分别为(46.2±10.9)分、(53.2±9.6)分、(55.2±8.6)分、(52.4±9.6)分,均显著低于对照组(53.6±10.6)分、(59.1±9.4)分、(61.2±10.2)分、(58.3±9.9)分,差异均有统计学意义(均P<0.05)。结论在CT引导下经皮肺穿刺活检术的肺部阴影患者中采用细节护理有效的改善患者肺功能指标,发烧、气胸、胸部疼痛、出血等并发症显著减少,对患者的预后效果具有更加积极作用。

Objective To explore the value applying detailed nursing care in the diagnosis of patients with pulmonary shadow by CT-guided percutaneous lung biopsy.Methods A total of 60 patients with pulmonary shadow admitted to our hospital for CT-guided percutaneous lung biopsy from January,2018 to January,2020 were selected,and randomly divided into a control group and a study group,with 30 cases in each group.The control group received routine care,and the study group received detailed care based on routine care.The pulmonary function,scores of ST.George's respiratory questionnaire before and after the nursing,pneumothorax,fever,and other complications were compared between the two groups.Results The incidence of adverse reactions was lower in the study group than in the control group(16.7%vs.63.3%;P<0.05).There were no statistical difference in the lung function indicators between the two groups before the nursing care(all P>0.05).After the nursing care,the FEV1,FEV1%,FEV1%/FVC,and 6MWT were better in the study group than in the control group(all P<0.05).Before the nursing care,there were no statistical differences in the scores of ST.George's respiratory questionnaire between the two groups(all P>0.05).After the nursing care,the scores of respiratory symptoms,disease influence,and activity as well as the total score were lower in the study group than in the control group[(46.2±10.9)vs.(53.6±10.6),(53.2±9.6)vs.(59.1±9.4),(55.2±8.6)vs.(61.2±10.2),and(52.4±9.6)vs.(58.3±9.9);all P<0.05].Conclusion Applying detailed nursing care in the diagnosis of patients with pulmonary shadow by CT-guided percutaneous lung biopsy can effectively improve their pulmonary function and reduce their complications,such as fever,pneumothorax,chest pain,and hemorrhage,and has a more positive effect on their prognosis.