综合护理干预对CT引导下肺肿瘤穿刺的影响  

Effect of comprehensive nursing intervention on CT-guided pulmonary tumor puncture

作　　者：孙晓娟 耿海涛[1] 徐殿红[1] 李丽娟 SUN Xiaojuan;GENG Haitao;XU Dianhong;LI Lijuan(Binzhou Medical University Hospital,Shandong,Binzhou 256603,China)

机构地区：[1]滨州医学院附属医院,山东滨州256603

出　　处：《中国医药科学》2018年第24期107-110,共4页China Medicine And Pharmacy

基　　金：山东省滨州医学院科技计划项目(BY2017KJ15)

摘　　要：目的研究肺肿瘤患者CT引导下经皮穿刺活检的综合护理干预效果。方法将372例于我院肿瘤科行CT引导下经皮肺穿刺活检患者随机分为对照组197例和观察组175例。对照组采用常规护理措施,观察组在常规护理的基础上给予综合护理干预。比较两组间穿刺成功率及并发症发生率的差异。结果观察组穿刺成功率为96.57%(169/175),对照组为90.36%(178/197),差异有统计学意义(P <0.05)。观察组气胸发生率为4.57%(8/175),咯血发生率为2.86%(5/175),而对照组气胸发生率为13.20%(26/197),咯血发生率为7.61%(15/197),两组间差异有统计学意义(P <0.05)。结论在常规护理基础上给予综合护理干预,可以提高CT引导下经皮肺穿刺活检术的成功率,并有效减少术后并发症。Objective To study the effect of comprehensive nursing intervention on CT-guided percutaneous puncture biopsy in patients with pulmonary tumor. Methods 372 patients underwent CT-guided percutaneous puncture biopsyin department of oncologyof our hospital were selected and they were randomly divided into the control group with 197 cases and the observation group with 175 cases. The control group was given routine nursing while the observation group was given comprehensive nursing intervention at basis of routine nursing. The differences in success rate of punctureand complication rate between the two groups were compared. Results The success rate ofpuncture in the observation group was 96.57%(169/175) and that of the control group was 90.36%(178/197). There was statistically significant different(P < 0.05).The incidence of pneumothorax and hemoptysis in the observation group were respectively 4.57%(8/175) and 2.86%(5/175).The incidence of pneumothorax and hemoptysis in the control groupwere respectively 13.20%(26/197) and 7.61%(15/197). The differences between two groups were statistically significant(P < 0.05). Conclusion Comprehensive nursing intervention at the basis of routine nursing can improve the successful rate of CT-guided percutaneous puncture biopsy and effectively reduce postoperative complications.

关 键 词：肺癌 CT引导下肺穿刺 综合护理 气胸 咯血 

分 类 号：R473.73[医药卫生—护理学]