胸腔镜下肺癌术后有效排痰护理措施的研究  

Study on nursing measures of effective expectoration after thoracoscopy for lung cancer

作　　者：刘倩[1] 程波[1] 曹林英[1] LIU Qian;CHENG Bo;CAO Linying(Department of Cardiothoracic,the Second Affiliated Hospital of Chongqing Medical Uni＇versity,Chongqing 400010,China)

机构地区：[1]重庆医科大学附属第二医院胸心外科,重庆400010

出　　处：《检验医学与临床》2018年第15期2269-2271,共3页Laboratory Medicine and Clinic

摘　　要：目的探讨胸腔镜下肺癌术后促进有效排痰的护理措施。方法收集2015年6月至2016年12月胸腔镜下肺癌术后患者共200例,按照随机数字表法平均分为对照组与研究组。对照组采用常规雾化、鼓励咳痰、吹气球等常规排痰护理措施,研究组在常规排痰护理措施上加上常规镇痛泵镇痛、叩背咳痰及机械振动排痰等措施。结果与对照组相比,研究组患者肺部感染、肺不张等并发症发生例数明显减少,研究组术后2d血管饱和度,术后3d每日平均痰液量明显优于对照组,差异有统计学意义(P<0.05)。结论有效镇痛、常规吸痰、叩背咳痰及机械排痰是肺癌术后有效排痰的重要措施。Objective To explore the nursing measures to promote effective discharge of phlegm after tho racoscopic lung cancer surgery. Methods A total of 200 patients with lung cancer surgery were collected frodom July 2015 to December 2016 ,and divided equally into control group and study group according to the random number table method. The patients in the control group were treated with conventional expectoration method including conventional atomization, encouraging sputum expectoration and blowing baloons. The patients in the study group were treated with postoperative analgesia punmp, knocking back for sputum excretion,mechan- ical vibration sputum expectoration. Results Compared with the control group, the incidence rate of pulmona ry complications was lower in the study group, blood oxygen level after operation two days and sputum volume after operation three days in the study group were more excellent,the differences were significant （P〈0.05）. Conclusion Postoperative analgesia pump, mechanical vibration sputum expectoration, aspiration of sputum are important measures for expectoration, and they could improve the effect of expectoration.

关 键 词：胸腔镜 肺癌 术后 排痰 

分 类 号：R473.73[医药卫生—护理学]