精细化呼吸干预管理预防开胸术后肺部感染的效果  

Effect of refined respiratory intervention management on preventing pulmonary infection of post-thoracotomy

作　　者：朱力[1] 刘建芬[2] 景静[3] 

机构地区：[1]中国医学科学院 北京协和医学院 北京协和医院门诊部,100730 [2]北京协和医学院护理学院,100144 [3]中国中医科学院西苑医院ICU,100091

出　　处：《中华现代护理杂志》2015年第17期2054-2058,共5页Chinese Journal of Modern Nursing

摘　　要：目的：比较开胸术后不同呼吸干预管理模式对降低患者肺部感染的效果。方法采用便利抽样的方法,选择2013年2—3月手术患者44例设为对照组,2013年4—5月手术患者44例为试验组。对照组给予常规呼吸干预管理模式,试验组给予精细化呼吸干预管理模式,比较两组干预效果。结果术后第4天,试验组患者18：00体温为（36.27±0.30）℃,对照组为（36.78±0.36）℃,差异有统计学意义（t=7.35,P〈0.05）；试验组白细胞计数为（6.07±1.43）×10^9/L,对照组为（7.61±1.94）×10^9/L,差异有统计学意义（t=4.27,P〈0.05）。试验组患者胸片均未出现异常,对照组患者4例出现肺部斑片状浸润影,发生率占9.09%。结论实施精细化呼吸干预管理,可使患者术后体温、白细胞、中性粒细胞比例较快地恢复至正常范围,不出现肺部湿性啰音,有效预防开胸术后肺部感染的发生。Objective Compare the effect of reducing patients′ pulmonary infection by different post-thoracotomy breathing intervention management modes. Methods A total of 88 sampled patients, who had done thoracotomy, were divided chronologically 44 each into control group （February to March 2013） and test group （ April to May 2013 ） . Regular respiratory intervention management were conducted on the control groups and refined respiratory intervention management were given to the test groups, compare the effect of two groups. Results The temperatures （36. 27 ± 0. 30）℃ of the patients from the test group at 6 pm in the 4th day after surgery were lower than （ 36. 78 ± 0. 36 ）℃ of the control group; difference between the two groups were statistically significant （t=7. 35,P〈0. 05）. The white blood cell analysis （6. 07 ± 1. 43） ×10^9/L in the 4th after surgery of experimental group tend to be more normal than the white blood cell analysis （7. 61 ± 1. 94） ×10^9/L of the control group with statistical significance （t=4. 27,P〈0. 05）. There were all normal for chest X ray in the test group, but 4 cases with lung patchy infiltrate shadows in the control group with incidence rate 9. 09%. Conclusions Refined breathing intervention management can make the body temperature, white blood cell, neutrophils ratio of post-operative patients recover to normal range quick without lung auscultation wet rales, and prevent post-thoracotomy pulmonary infection.

关 键 词：精细化呼吸干预管理 预防 开胸术后 肺部感染 

分 类 号：R473.6[医药卫生—护理学]