改良式体位引流治疗老年性胃癌术后肺部感染的效果观察  

Effect of modified postural drainage for treating pulmonary infection of senile patients with gastric cancer

作　　者：滕莉[1] 付阿丹[1] 张星[1] 

机构地区：[1]武汉市中心医院胃肠外科,430013

出　　处：《中国实用护理杂志》2015年第11期806-808,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨改良式体位引流对老年．1生胃癌术后肺部感染的临床治疗价值。方法将107例老年．1生胃癌术后肺部感染患者按随机数字表法分为对照组53例与观察组54例，对照组接受胃癌术后常规治疗及护理措施，观察组在此基础上采用改良式体位引流。比较2组患者每13的痰液排出量、培养阳性例数、术后血液指标恢复正常天数、术后发热天数、术后10d肺部感染现存例数、住院天数等。结果观察组患者的排痰量明显高于对照组[（185．7±23．7）ml比L（99．7±17．6）ml]，P〈0．05，观察组术后血液指标恢复天数[白细胞计数（2．9±0．9）d比（5D±0．7）d，C-反应蛋白（35±0．7）d比（7．4±0．6）d]、术后发热天数[（1．9±0．5）d比（3．6±1．4）d]、术后肺不张例数（5例比19例）和住院天数[（15．9±1．0）d比（23．7±1．2）d]等指标均少于对照组，差异有统计学意义，P〈0．05。结论改良式体位引流能有效地预防术后肺不张，控制肺部感染，能明显减少老年患者胃癌手术后肺不张的发生率，值得临床应用。Objective To explore clinical effect of modified postural drainage for treating pulmonary infection of senile patients with gastric cancer. Methods 107 cases of patients with gastric cancer were randomly divided into two groups： control group （n = 53） and treatment group （n = 54）, which were respectively treated by routine postoperative therapy and nursing measures and modified postural drainage based on these routine measures, and compared daily amount of expectoration sputum, positive cases of sputum culture, restore time of postoperative blood test, postoperative fever time, cases of pulmonary infection on the postoperative tenth day and length of stay. Results Daily amount of expectoration sputum of patients in treatment group was significantly higher than that of control group [ （185.7 ± 23.7） ml vs. （99.7 ± 17.6） ml ] （P 〈 0.05）. However, restore time of postoperative characters of blood test [ white blood cell count （2.9±0.9） d va （5.0±0.7） d, C - reaction protein （35±0.7） d w （7.4±0.6） d ], postoperative fever time [ （1.9±0.5） d vs. （3.6±1.4） d ], cases of atelectasis （5 eases vs. 19 cases） and length of stay [ （1.9±0.5） d vs. （3.6±1.4） d ] were respectively significantly less than those of control group （P 〈 0.05）. Conclusions Modified postural drainage could effectively prevent postoperative atelectasis and pulmonary infection, significantly reduced incidence of postoperative atelectasis of senile patients with gastric cancer operation, and so it was worthy of clinical application.

关 键 词：肺炎 引流  体位 胃肿瘤 

分 类 号：R735.2[医药卫生—肿瘤]