新型容量型呼吸训练器联合乙酰半胱氨酸泡腾片在肺癌患者围术期呼吸道护理中的应用研究  

Application of a new volume breath training device combined with acetylcysteine effervescent tablets in perioperative respiratory tract nursing of lung cancer patients

作　　者：李露 Li Lu(The People's Hospital of Pingxiang City,Pingxiang,Jiangxi337000)

机构地区：[1]萍乡市人民医院,江西萍乡337000

出　　处：《基层医学论坛》2021年第9期1198-1200,共3页The Medical Forum

基　　金：萍乡市科技计划项目(2018PY060)。

摘　　要：目的探讨新型容量型呼吸训练器联合乙酰半胱氨酸泡腾片在肺癌患者围术期呼吸道护理中的应用效果。方法选取2018年10月—2020年10月萍乡市人民医院胸外科接受择期手术治疗的90例肺癌患者,随机分为对照组1、对照组2与试验组,各30例,3组患者均在住院3 d后视情况安排胸腔镜手术,围术期护理时对照组1给予常规呼吸道护理及新型容量型呼吸训练器,对照组2给予常规呼吸道护理联合乙酰半胱氨酸泡腾片,试验组给予常规呼吸道护理的同时采用新型容量型呼吸训练器联合乙酰半胱氨酸泡腾片。对比术前及术后1个月肺功能相关指标,并记录住院天数、抗生素使用强度、使用天数及肺部并发症发生情况。结果术前3组用力肺活量(FVC)及第1秒用力呼气容积(FEV1)比较无明显差异(P>0.05),术后均下降(P<0.05),对照组1、2比较无明显差异(P>0.05),但试验组均优于对照组1、2(P<0.05)。试验组住院时间短于对照组1、2,对照组1、2比较无明显差异(P>0.05)。3组治疗期间均有肺不张、胸腔积液、肺部感染等并发症,其中试验组并发症发生率低于对照组1(P<0.05),但与对照组2比较无明显差异(P>0.05)。试验组平均抗生素使用强度为(27.9±2.13),低于对照组1的(34.6±3.26)与对照组2的(36.2±3.31),三组比较具有统计学差异,且试验组使用天数略少于对照组1、2,对照组1、2比较无明显差异(P>0.05)。结论新型容量型呼吸训练器联合乙酰半胱氨酸泡腾片在肺癌患者围术期呼吸道护理中,但效果显著,可有效缓解肺功能,缩短住院时间,减少抗生素使用率及并发症发生率。Objective The study aims to explore the application effect of a new volume breath training device combined with acetylcysteine effervescent tablets in perioperative respiratory tract nursing of lung cancer patients.Methods Between October 2018 and October 2020,90 lung cancer patients who received elective surgery in the department of thoracic surgery of the hospital were enrolled in this study.According to the severity of lung dysfunction,patients with mild to moderate pulmonary function reduction were randomly divided into control group 1,control group 2 and experimental group,30 cases in each group.All patients in the 3 groups were treated with thoracoscopic surgery after 3 days of hospitalization.During the perioperative period,the control group 1 were given conventional respiratory tract nursing and the new volume breath training device,the control group 2 were given conventional respiratory tract nursing and acetylcysteine effervescent tablets,and the experimental group were given conventional respiratory tract nursing and the new volume breath training device combined with acetylcysteine effervescent tablets.Lung function related indexes before and after operation were compared,and the length of hospital stay,antibiotic use intensity,usage days and the occurrence of pulmonary complications were recorded.Results No significant differences were found in forced vital capacity(FVC)and forced vital capacity in 1 second(FEV1)among the 3 groups before operation(P>0.05).After operation,the two indexes decreased in all groups(P<0.05),which were better in the experimental group than in the 2 control groups(P<0.05),but there were no significant differences between the 2 control groups(P>0.05).The experimental group had shorter hospital stay than the 2 control groups,but no significant differences were observed between the 2 control groups(P>0.05).Complications such as atelectasis,pleural effusion,and pulmonary infection occurred in all groups during treatment,with significant differences among the 3 groups(P<0.05).The

关 键 词：肺癌 围术期 呼吸道护理 新型容量型呼吸训练器 乙酰半胱氨酸泡腾片 

分 类 号：R4[医药卫生—临床医学]