乙酰半胱氨酸在胸外科患者围手术呼吸道管理中的运用  

Application of acetylcysteine in the management of respiratory tract in thoracic surgery

作　　者：杨文 Yang Wen(Nanchuan District People's Hospital,Chongqing 408400,China)

机构地区：[1]重庆南川区人民医院,重庆408400

出　　处：《临床医药文献电子杂志》2019年第95期2-2,17,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的研究乙酰半胱氨酸在胸外科患者围手术呼吸道管理中的运用。方法在选取2017年6月~2018年6月医院收治胸外科手术患者56例,随机分为对照组28例和观察组28例。两组在呼吸道管理上有所不同,对照组为常规管理,观察组加用乙酰半胱氨酸。比较两组患者护理前后的呼吸功能,以及术后出现的并发症。结果呼吸功能上,两组患者在护理前没有差异,在护理后观察组的FEV1、FVC、FEV1/FVC等指标均优于对照组,差异有统计学意义(P<0.05)。术后并发症上,观察组低于对照组,差异有统计学意义(P<0.05)。结论胸外科患者,在围手术期,应用乙酰半胱氨酸开展围手术呼吸道管理,对改善呼吸功能、减少并发症,都有很好的效果。Objective To study the application of acetylcysteine in perioperative respiratory tract management of thoracic surgery patients.Methods From July 2016 to June 2016,56patients admitted to the hospital for thoracic surgery were randomly divided into the control group(n=28)and the observation group(n=28).The two groups were different in respiratory tract management,the control group was routine management,and the observation group was treated with acetylcysteine.Respiratory function and postoperative complications were compared between the two groups before and after nursing.Results In terms of respiratory function,there was no difference between the two groups before nursing,and FEV1,FVC,FEV1/FVC and other indicators in the observation group were better than the control group after nursing(P<0.05).Postoperative complications were lower in the observation group than in the control group(P<0.05).Conclusion In thoracic surgery patients,the application of acetylcysteine in perioperative respiratory tract management is effective in improving respiratory function and reducing complications.

关 键 词：乙酰半胱氨酸 胸外科患者 围手术 呼吸道管理 

分 类 号：R655[医药卫生—外科学]