肺癌术后不同雾化治疗时间的疗效比较  

Comparison of curative effect of different atomization treatment time after lung cancer surgery

作　　者：王婧[1] 胡阳元[1] Wang Jing;Hu Yangyuan(Hunan Provincial Tumor Hospital 410013)

机构地区：[1]湖南省肿瘤医院,410013

出　　处：《中国社区医师》2016年第24期63-64,66,共3页Chinese Community Doctors

基　　金：湖南省科学技术厅科研项目(2014FJ6022)~~

摘　　要：目的:探讨肺癌患者全麻开胸术后理想的雾化吸入治疗时间。方法:将136例肺癌手术患者分成4组,A组术后每日上、下午各氧气雾化吸入1次;B、C、D组采用改良滴注式氧气雾化吸入,B组每日间断雾化达6 h、C组达12h、D组持续24 h;比较4组患者术后3 d时的血气分析、肺功能,统计术后并发症及术后平均住院时间。结果:B、C、D组动脉血氧饱和度、氧分压、二氧化碳分压、第1秒用力呼气量、术后并发症及平均住院日与A组比较,差异有统计学意义(P<0.05)。结论:肺癌患者全麻开胸术后每日氧气雾化吸入治疗时间达6 h以上,能明显改善患者肺功能,减少肺部并发症,缩短术后住院时间。Objective:To investigate the ideal time of atomizing inhalation therapy for lung cancer patients after generalanesthesia.Methods:136 patients with lung cancer were divided into the 4 groups.The group A received oxygen atomizationinhalation on time each daily morning and afternoon,The B,C,D group used improved infusion of oxygen atomizing inhalation.Thegroup B used daily intermittent atomization up to 6 hours,the group C up to 12 hours,the group D lasted for 24 hours.The blood gasanalysis and pulmonary function were compared between the four groups after 3 days of operation,and the postoperativecomplications and average length of stay in hospital were counted.Results:The arterial oxygen saturation,oxygen partial pressure,carbon dioxide partial pressure,forced expiratory volume in the first second,postoperative complications and the average length ofstay in hospital of the B, C, D group compared with the group A had statistically significant differences(P<0.05).Conclusion:Patients with lung cancer were treated with daily oxygen inhalation for more than 6 hours after general anesthesia,which cansignificantly improve lung function,reduce pulmonary complications,and shorten the time of hospitalization.

关 键 词：肺癌术后 雾化吸入 治疗时间 

分 类 号：R734.2[医药卫生—肿瘤] R614.2[医药卫生—临床医学]