加强呼吸道管理对老年开胸手术后康复的影响  

Influence of strengthening respiratory tract management on rehabilitation of elderly after thoracic surgery

作　　者：付晓丽[1] 彭英[1] 徐秀丽[1] 

机构地区：[1]湖北省孝感市中心医院

出　　处：《全科护理》2014年第29期2712-2714,共3页Chinese General Practice Nursing

摘　　要：[目的]探讨加强呼吸道管理老年开胸手术后康复的影响。[方法]将100例老年开胸手术病人采用随机数字表法分为对照组和观察组各50例,对照组术后实施常规护理,观察组在常规护理的基础上加强呼吸道管理,对两组病人术后引流管留置时间、镇痛时间、住院时间及并发症发生率、生活质量进行比较。[结果]观察组术后引流管留置时间、镇痛时间、住院时间均少于对照组;术后肺部感染、肺不张发生率低于对照组;生活质量优于对照组,经比较差异均有统计学差异(P<0.05)。[结论]加强老年开胸手术后呼吸道管理,可加快病人术后康复进程,减少并发症,提高病人生活质量。Obj ective：To probe into influence of strengthening respiratory tract management on rehabilitation of the elderly after thoracic surgery. Methods：A total of 100 cases of elderly patients undergoing thoracic sur-gery were randomly divided into control group and observation group,50 ca-ses in each.the patients in control group received the implementation of postoperative routine care,besides that the respiratory tract management was strengthened for patients in observation group,then to compare the postoperative drainage tube indwelling time,duration of analgesia,length of stay and complication rates,quality of life of patients between both groups. Results：The postoperative drainage tube indwelling time,pain,hospitaliza-tion time in observation group were less than that in control group;inci-dence of postoperative pulmonary infection and atelectasis was lower than that in control group;quality of life was better than that in control group, and the difference was statistically significant （P〈0.05 ）.Conclusion：To strengthen respiratory tract management for the elderly after thoracotomy can speed up postoperative rehabilitation process and reduce complications and enhance their quality of life.

关 键 词：老年开胸手术 呼吸道管理 生活质量 康复 

分 类 号：R473.6[医药卫生—护理学]