肋骨骨折合并血气胸术后运用综合性护理的效果观察

Observation on the Effect of Comprehensive Nursing after the Operation of Rib Fracture Combined with Hemopneumothorax

目的 分析观察肋骨骨折合并血气胸术后运用综合性护理方法取得的临床效果。方法 选择我院手术治疗的肋骨骨折合并血气胸患者106例为研究对象,研究活动展开时间段为2018年4月至2019年4月。根据患者手术前后分为两组,即对照组(n=43)和观察组(n=43)。所有患者均采取手术治疗,对照组患者辅助性提供常规性护理措施,观察组患者则展开综合性护理方法。对两组患者经过不同护理以后的救治有效率、并发症发生率、咳嗽程度、排痰难度、痰液黏稠度、肺部湿啰音等评分、肺功能指标、生活质量等进行统计学分析和对比。结果 (1)观察组经过护理之后的救治有效率为94.34%(50/53),明显高于对照组[84.91%(45/53)](P<0.05)。(2)观察组护理以后的并发症发生率为7.55%(4/53),明显低于对照组[24.53%(13/53)](P<0.05)。(3)护理前,两组患者的咳嗽程度、排痰难度、痰液黏稠度、肺部湿啰音等各项评分较高,且相互之间的差异不具统计学意义(P>0.05),护理后,两组患者的上述各项评分均有减少,但观察组减少更多(P<0.05)。(4)护理前,两组患者的第1秒用力呼气量、用力肺活量等肺功能指标差异不显著(P>0.05),护理后,两组患者的第1秒用力呼气量、用力肺活量肺功能指标均有改善,但观察组的改善更为显著(P<0.05)。(5)护理前,两组患者的SF-36生活质量量表评分均不足70分且差异不显著(P>0.05),护理后,两组患者的SF-36生活质量量表评分提高,但观察组的提高幅度更大(P<0.05)。结论 对肋骨骨折合并血气胸的手术患者以综合性护理方法实施干预提升整体就是有效率具有重要意义,可以减少出现并发症的可能,减轻患者的咳嗽症状,提高排痰性等,能够有效的促进肺功能的转变提高整体生活质量。

Objective To analyze and observe the clinical effect of comprehensive nursing methods after rib fracture combined with hemopneumothorax. Methods The research activities were carried out from April 2018 to April 2019, and 106 patients with rib fractures and hemopneumothorax who underwent surgical treatment during this period were selected. The patients were divided into two groups before and after surgery, and the number of patients in both the control group and the observation group was 53 cases. All patients were treated with surgery,the patients in the control group were supplemented with routine nursing measures, and the patients in the observation group were provided with comprehensive nursing methods. Statistical analysis was performed on the treatment efficiency, complication rate, cough degree, sputum expectoration difficulty, sputum viscosity, lung rales and other scores, pulmonary function indicators, and quality of life of the two groups of patients after different nursing care. And contrast. Results(1) The treatment effective rate of the observation group(50 cases, accounting for 94.34%) after nursing was significantly higher than that of the control group(45 cases, accounting for 84.91%)(P<0.05).(2) The incidence of complications after nursing in the observation group(4 cases, accounting for 7.55%) was lower than that in the control group(13 cases, accounting for 24.53%)(P<0.05).(3) Before nursing, the scores of cough degree, sputum expectoration difficulty, sputum viscosity, lung rales and other scores were higher in the two groups, and the difference between them was not statistically significant.(P>0.05), after nursing, the above scores of the patients in the two groups were reduced, but the reduction in the observation group was more(P<0.05).(4) Before nursing, the patients in the two groups there was no significant difference in pulmonary function indexes such as forced expiratory volume in 1 second and forced vital capacity(P>0.05). After nursing, the forced expiratory volume and forced vital capacity in the first second of the two groups were improved, but the improvement in the observation group was more significant(P<0.05).(5) Before nursing, the scores of the SF-36 quality of life scale of the two groups were less than 70 points and the difference was not significant(P>0.05), after nursing, the scores of SF-36 quality of life scale in the two groups were improved,but the improvement in the observation group was greater(P<0.05). Conclusion It is of great significance to intervene with comprehensive nursing methods to improve the overall efficiency of surgical patients with rib fractures complicated with hemopneumothorax, which can reduce the possibility of complications, reduce the cough symptoms of patients, and improve sputum expectoration. It is recommended to promote the transformation of lung function and improve the overall quality of life.