探讨无创正压通气对胸外科患者术后肺部感染的影响  

To study the effect of noninvasive positive pressure ventilation onpostoperative pulmonary infection in patients with thoracic surgery

作　　者：向舒[1] 罗锐 XIANG Shu;LUO Rui(Chest surgery,Chongqing Three Gorges Central Hospital,Chongqing 404000,China;Tumor Comprehensive Disease Area of Chongqing Three Gorges Central Hospital,Chongqing 404000,China)

机构地区：[1]重庆三峡中心医院胸外科,重庆404000 [2]重庆三峡中心医院肿瘤综合病区,重庆404000

出　　处：《临床医药文献电子杂志》2019年第84期14-14,16,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的 探究无创正压通气对胸外科患者术后肺部感染的影响。方法 选取2018年3月~2019年3月在我院接受治疗的胸外科患者60例作为研究对象,将其随机分为两组,各30例。对照组给予常规治疗;观察组在对照组基础上加用无创正压通气,对两组患者治疗前后的PaO2、PaCO2血气指标以及术后肺部并发症发生情况进行综合评价。结果 观察组患者治疗后的PaO2、PaCO2血气指标得到明显改善,显著优于对照组,差异有统计学意义(P<0.05);且观察组治疗后有2例患者出现肺部并发症,并发症的发生率为6.7%,对照组并发症发生8例,并发症发生率为26.7%,两组比较,差异有统计学意义(P<0.05)。结论 无创正压通气在胸外科手术患者中的应用,能够促进患者血气功能改善,降低肺部并发症率,值得推广应用。Objective To investigate the effects of noninvasive positive pressure ventilation on postoperative pulmonary infection in patients with thoracic surgery.Methods 60 patients with thoracic surgery who were treated in our hospital from March 2018 to March 2019 were taken as subjects, and 30 patients were randomly grouped into control groups. In 30 patients of the observation group, non-invasive positive pressure ventilation was added to the control group to evaluate the blood gas index of PaO 2 and PaCO2 before and after treatment and the occurrence of postoperative pulmonary complications.Results The PaO 2 and PaCO2 blood gas indexes of the observation group were signi ficantly improved after treatment, which was signi ficantly better than the control group (P<0.05), which was statistically signi ficant. In the observation group, 2 patients developed pulmonary complications and complications occurred. The rate was 6.7%, 8 cases of complication occurred in the control group, and the complication rate was 26.7%. The difference between the two groups was statistically signi ficant (P<0.05).Conclusion The application of non-invasive positive pressure ventilation in patients with thoracic surgery can promote the improvement of blood and air function and reduce the rate of pulmonary complications. It is worth popularizing and applying.

关 键 词：无创正压通气 胸外科 肺部感染 血气指标 

分 类 号：R655[医药卫生—外科学]