系统的呼吸护理与常规护理对肺癌患者术后并发症和肺功能的影响  

Impacts of Systematic Respiratory Care and Traditional Care on Postoperative Patients with Lung Cancer

作　　者：刘宁[1] 刘德秋[1] 

机构地区：[1]哈尔滨医科大学附属第四医院科技创新园区综合外科,黑龙江省哈尔滨市150000

出　　处：《实用心脑肺血管病杂志》2016年第B12期195-197,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨系统的呼吸护理对肺癌切除术患者康复的影响。方法选取2013年12月—2015年12月于哈尔滨医科大学附属第四医院接受治疗的肺癌患者84例为研究对象。根据护理方案不同,将患者分为观察组(52例)和对照组(32例)。对照组患者术后给予常规护理,观察组在常规护理的基础上给予系统的呼吸护理干预措施,包括深呼吸、叩击肺部区域、指导患者进行有效咳嗽。观察两组患者肺部感染、肺不张发生率及下床活动时间、住院时间,并在呼吸护理结束后(一般为7d)测定用力肺活量(FVC)及第1秒用力呼气末容积(FEV1)。结果观察组肺部感染、肺不张发生率低于对照组,下床活动时间、住院时间短于对照组,护理后FVC、FEV1高于对照组,差异均有统计学意义(P<0.05)。结论系统的呼吸护理干预能在改善肺癌切除术患者呼吸状况及肺功能的同时,减少术后并发症。Objective To discuss the impacts of systematic respiratory care on postoperative patients with lung cancer.Methods 84 patients with lung cancer who were treated in the Fourth Affiliated Hospital of Harbin Medical University from December 2013 to December 2015 were selected as the subjects. Base on the different care, the patients were divided into observation group（ 52 cases） and control group（ n = 32）. The patients in control group were given routine nursing after operation,and besides the routine nursing,patients in observation group were given systematic respiratory care,including deep breathing,tapping the lung region,guiding effective cough. The pulmonary infection,the incidence of atelectasis and ambulation time,hospitalization time were recorded,and FVC and FEV1 were examined after care. Result The pulmonary infection, the incidence of atelectasis and ambulation time,hospitalization time in bservation group were lower than those in control group,and FVC and FEV1 were higher than patients in control group（ P 〈 0. 05）. Conclusion The systematic respiratory nursing intervention can improve the respiratory and pulmonary function of patients with lung cancer resection,and reduce postoperative complications.

关 键 词：肺肿瘤 呼吸护理 手术后并发症 肺功能 

分 类 号：R734.2[医药卫生—肿瘤]