全机器人冠状动脉搭桥术后肺部护理效果评价  

Evaluation of pulmonary nursing care in patients with TECAB

作　　者：康文斌[1] 丁艳琼[2] 徐文红[1] 赵彦珍[1] 

机构地区：[1]解放军总医院心外监护室,北京100853 [2]解放军总医院心外二科,北京100853

出　　处：《中华现代护理杂志》2011年第27期3255-3257,共3页Chinese Journal of Modern Nursing

摘　　要：目的分析全机器人心脏不停跳下冠状动脉搭桥术（TECAB）后患者肺部情况，探讨TECAB患者术后肺部有效的护理方法。方法选择2009年1月至2010年7月TECAB的患者20例，针对患者术中单肺通气的特点，给予加强深呼吸运动，并取右侧卧位，加强对左肺扣背次数，采取低强度多次数扣背治疗和低频率振动（10～15次／s）祛痰清肺仪治疗等护理措施，分析患者术后肺部恢复情况。结果TECAB的患者在拔除气管插管后PaO2、PaCO2值均在正常范围内，患者术后肺部未出现任何并发症，全部痊愈出院。结论有针对性的肺部护理措施是促进患者顺利康复的重要保证，针对TECAB的特点制定的肺部护理措施是有效的。Objective To analyze the recuperation of lungs after TECAB, and probe more effective nursing care for the lungs of patients after TECAB. Methods 20 cases received the treatment of TECAB were collected during the period of January 2009 to July 2010. Due to the reason of ventilation with single lung, patients were demanded to strength breath and take fight lateral position and treated with back-tapping in left lung. Meanwhile, patients were treated with back-tapping with lower intensity and more times and lower frequency vibration （ 10 - 15 time/s）. The recuperation of patients were observed and analyzed. Results After treatment, the walue of PaO2 and PaCO2 were in normal range, and no complications were occurred and all of them recovered from illness. Conclusions Effective and well-targeted lungs nursing is an important assurance that helps the sufferer to recover from illness and the new lungs nursing after one-lung ventilation in TECAB is effective.

关 键 词：围手术期护理 全机器人心脏不停跳下冠状动脉搭桥术 单肺通气 

分 类 号：R473.6[医药卫生—护理学]