两种氧疗方式在开胸术后患者并发肺部感染中的应用效果及护理  

Application effects and nursing of two types of oxygen therapy on thoracic operation patients complicated with pulmonary infection

作　　者：郭惠玲[1] 桑海燕[2] 庞玲[3] 张丽萍[4] 曹群[1] 王淑敏[1] 

机构地区：[1]吉林大学中日联谊医院新民院区普外科,长春130021 [2]吉林大学中日联谊医院新民院区心内科,长春130021 [3]吉林大学中日联谊医院新民院区康复科,长春130021 [4]吉林大学中日联谊医院新民院区胸外科,长春130021

出　　处：《中华现代护理杂志》2016年第4期578-581,共4页Chinese Journal of Modern Nursing

基　　金：吉林省发展和改革委员会项目(2014Y038)Fund program:Jilin Provincial Development and Reform Commission

摘　　要：目的：分析行开胸术治疗并发肺部感染患者应用鼻导管吸氧及面罩双重吸氧治疗的临床效果。方法将66例行开胸术后并发肺部感染患者按照随机数字表法随机分为两组,每组33例,分别给予鼻导管治疗（鼻导管组）和鼻导管及面罩双重吸氧治疗（双重组）,探讨两组患者的治疗效果。结果双重组患者吸氧后30,60,90 min PaO2明显高于鼻导管组,两组间差异有统计学意义（P〈0.05）；双重组患者吸氧前60 min及吸氧后60 min平均呼吸频率为（56.23±4.15）次/min,明显高于鼻导管组患者的（44.82±5.64）次/min,且双重组患者吸氧后 SpO2明显高于鼻导管组,差异有统计学意义（ P 〈0.05）。两组治疗不良反应总发生率比较差异无统计学意义（χ^2=0.569,P〉0.05）。结论开胸术后并发肺部感染患者应用鼻导管及面罩双重吸氧治疗可有效提高患者肺部感染的治疗效果,同时并不增加不良反应总发生率。Objective To analyze effects of nasal tube of oxygen inhalation and mask double oxygen inhalation, on thoracic operation patients complicated with pulmonary infection. Methods A total of 66 thoracic operation patients complicated with pulmonary infection were randomly divided into nasal tube group （33 cases, nasal tube of oxygen inhalation therapy） and double group （33 cases, mask double oxygen inhalation therapy） according to random number table method. Therapy effects were explored in two groups. Results PaO2 of patients in double group was higher than that in nasal tube group 30, 60, 90 minutes after oxygen inhalation （ P〈0. 05）. Average respiratory rate was （56. 23 ± 4. 15）/minute in double group 60 minutes before and 60 minutes after oxygen inhalation, which was significantly higher than that in nasal tube group （44. 82 ± 5. 64）/minute. SpO2 patients in double group was also significantly higher than that in nasal tube group （P〈0. 05）. There was no significant difference in the incidence of adverse reactions between two groups （χ^2 =0. 569, P〉0. 05）. Conclusions Application of nasal tube oxygen inhalation and mask double oxygen inhalation can obviously improve the treatment effectiveness of thoracic operation patients complicated with pulmonary infection and do not increase the total incidence of side effects.

关 键 词：氧吸入疗法 开胸术 肺部感染 鼻导管吸氧 面罩双重吸氧 

分 类 号：R473.6[医药卫生—护理学]