370例老年人手术后肺部并发症的预防

Nursing Administration of the Postoperative Lung Complication Prophylaxis in 370 Old People with Large Operation

目的 通过对老年人手术后肺部并发症预防的护理体会总结 ,为今后更好地保证老年人手术后顺利康复的护理管理提供依据。方法 对 2 0 0 1年 1月～ 2 0 0 2年 12月 370例胸部、腹部手术患者 ,年龄在 6 0～ 82岁之间 ,预防肺部并发症的方法进行指导 ,听诊评估肺部痰鸣音情况 ,促进排痰方法的程序预防并发症 ,并进行讨论总结。结果 370例年龄在 6 0～ 80岁之间的患者两年中无 1例肺部并发症发生。结论 术前正确方法的指导及意义的解释 ,术后评估肺部情况 ,有效的排痰预防术后肺部并发症的护理程序指导临床护理工作是非常必要的 ,两年中我科无 1例肺部并发症发生。

OBJECTIVE To summarize the nursing experience of the lung complication prophylaxis in 370 old people in order to provide the reasons for the nursing administration to enable the old people to recover successfully after operation. METHODS A total of 370 old people with ago from sixty to eighty-two years old, were taught how to prevent the lung complication, after operation in the thoracic or abdominal region from Jan 2001 to Dec 2002. Their lung function was evaluated by auscultation and the procedure to exclude the sputum was erected to prevent the postoperative complication. The nursing data were discussed and summarized. RESULTS There was no one contracting the lung complication in two years. CONCLUSIONS It is very important to explain the correct methods and their uses preoperatively, and to evaluate the lung function postoperatively, and to exclude the sputum effectively to prevent the lung complication. The correct nursing procedure can guide the clinical nursing administration.