胃癌患者术后发生肺部感染的预防措施  

Prevention and nursing countermeasures of postoperative pulmonary infections in patients with gastric cancer

作　　者：付欢英[1] 汪和美[1] 周利华[1] 许芳妹[1] 

机构地区：[1]浙江省肿瘤医院腹部肿瘤外科,浙江杭州310022

出　　处：《中华医院感染学杂志》2013年第20期4938-4939,共2页Chinese Journal of Nosocomiology

基　　金：浙江省科技厅公益性技术应用研究项目(2012C23114)

摘　　要：目的针对胃癌患者术后发生肺部感染的临床特点进行有效预防,以降低肺部感染发生率。方法对医院2010年2月-2012年2月收治的260例胃癌患者,随机将其分为对照组126例,干预组134例,对照组采取常规手术护理,干预组在常规护理基础上采取针对性护理方法,对比观察两组患者肺部感染发生率及住院天数,数据采用χ2检验,计量数据比较采用t检验,用SPSS12.0软件进行统计分析。结果干预组134例患者中发生肺炎感染10例,感染率为7.94%,对照组126例患者中发生肺部感染16例,感染率为12.7%,两组患者肺部感染率比较,差异有统计学意义(P<0.05);干预组住院天数为(14±5.6)d、对照组为(21±6.7)d,两组患者住院天数比较,差异有统计学意义(P<0.05)。结论对胃癌患者术前、术后进行有效护理可最大程度减少肺部感染的发生,对提高治疗效果、预防肺部感染及住院时间具有重要作用。OBJECTIVE To take effective prevention and nursing countermeasures according to the clinical characteristics of postoperative pulmonary infection in patients with gastric cancer so as to reduce the infection rate. METHODS A total of 260 cases of gastric cancer patients, who were treated in the hospital from Feb. 2010 to Feb. 2012, were enrolled in the study and divided into the control group（126 cases） and intervention group（134 cases） according to the principle of randomization. The control group adopted conventional operation nursing care, while specific earing methods were used in the intervention group on the basis of routine nursing care, the incidence of pulmonary infections and the hospitalization duration were observed and compared between the two groups. The chi-spure test was performed for the data, t-test was carried out for the measurement data, and statistical analysis was performed with the use of SPSS12.0. RESULTS The pulmonary infections occurred in 10 of 134 cases in the intervention group, with the infection rate of 7.94~ ; while the pulmonary infections occurred in 16 of 126 cases in the control group, with the infection rate of 12. 70/~,and the difference in the incidence of pulmonary infections between the two groups was significant（P^0. 05）. The hospitalization duration was （14 4-5.6）days in the intervention group, （21 ! 6. 7）days in the control group, the difference in the hospitalization duration between the two groups was statistically significant（P〈O. 05）. CONCLUSION The effective preoperative or postoperative nursing for the gastric carcinoma patients can reduce the incidence of pulmonary infections to the maximum extent and play an important role in improving the therapeutic effect, preventing the pulmonary infections as well as shortening the hospitalization duration.

关 键 词：胃癌患者 术后 肺部感染 预防 护理 

分 类 号：R735.2[医药卫生—肿瘤]