两种不同背部叩击排痰法对胸腔镜下食道癌根治术后患者肺部并发症的影响  

Effects of two expectoration methods on pulmonary complications and hypoxemia in esophageal cancer patients having undergone radical resection with video-assisted thoracoscopic surgery

作　　者：王晓莉[1] 顾艳荭[1] 于海荣[1] 张燕楠[1] 孙雪梅[1] 

机构地区：[1]南通大学附属医院胸外科,江苏南通226001

出　　处：《现代临床护理》2015年第10期40-42,共3页Modern Clinical Nursing

摘　　要：目的 探讨高频率双手背部叩击排痰法和传统的低频率单手背部叩击排痰法对胸腔镜下食道癌根治术后患者肺部并发症影响.方法 将2013年5月～2014年1月在本科住院行胸腔镜下食道癌根治术的60例食道癌患者设为对照组,实施低频率单手背部叩击排痰法;将2014年2～7月在本科住院行胸腔镜下食道癌根治术的60例食道癌患者设为观察组,实施高频率双手背部叩击排痰法,了解两组患者肺部并发症发生情况.结果 叩击排痰后,观察组患者肺不张发生率低于对照组,两组比较,差异均有统计学意义（P＜0.05）. 两组患者肺部感染发生率比较,差异无统计学意义（P＞0.05）. 结论 胸腔镜下食道癌根治术后患者采用高频率双手背部叩击排痰法, 在降低肺不张发生率方面优于采用传统的低频率单手背部叩击排痰法.Objective To compare the effects of expectoration by high frequency back tapping with both hands and traditional expectoration by tapping back with a single hand on pulmonary complications in esophageal cancer patients having undergone radical resection with video-assisted thoracoscopic surgery （VATS）. Methods Sixty patients after radical resection for esophageal cancer with VATS from May 2013 to January 2014 were set as the control group, in which expectoration by tapping the back with a single hand. Another 60 patients after radical resection for esophageal cancer with VATS from February 2014 to July 2014 were set as the observation group, in which the expectoration by high frequency tapping the back with both hands. The two groups were compared in terms of pulmonary complications. Result The incidence of atelectasis and pulmonary infection in the observation group were lower than those with a single hand in the control group （all P〈0.05）. Conclusion For the patients having undergone radical resection of esophageal carcinoma with VATS, the expectoration with high frequency back tapping with both hands is more effective in lowering atelectasis rate than that with a single hand.

关 键 词：食道癌根治术 叩背排痰法 肺不张 肺部感染 

分 类 号：R473.73[医药卫生—护理学]