早期主动活动应用于胸腔镜肺叶切除术后患者的效果  

Effect of early active activity on patients after thoracoscopic lobectomy

作　　者：张珊珊 ZHANG Shanshan(Department of Thoracic Surgery,The First Affiliated Hospital of Nanyang Medical College,Nanyang Henan 473000,China)

机构地区：[1]南阳医专第一附属医院胸外一科,河南南阳473000

出　　处：《临床研究》2021年第12期179-182,共4页Clinical Research

摘　　要：目的研究早期主动活动应用于胸腔镜肺叶切除术后患者的效果。方法择取2019年3月至2020年3月于南阳医专第一附属医院住院治疗的118例行胸腔镜肺叶切除术后的患者,按应用护理方案的不同分为实验组(57例)与对照组(61例),实验组应用早期主动活动方案,对照组应用常规护理方案,比较两组患者肌力等级、两组患者治疗总有效率、术后1周内吸痰频率、术后住院天数、不良事件发生率等情况。结果实验组肌力较好患者占比68.42%高于对照组47.54%,差异有统计学意义(P<0.05);治疗后,实验组患者总有效率为96.49%,对照组患者总有效率为83.61%,实验组总有效率高于对照组(P<0.05);实验组术后1周吸痰频率、术后住院天数均少于对照组,差异有统计学意义(P<0.05);实验组不良事件发生率12.28%小于对照组27.87%,差异有统计学意义(P<0.05)。结论胸腔镜肺叶切除术后患者应用早期主动活动模式可以提高肌力,减少不良事件发生率,减少吸痰次数、术后住院天数,有利于患者术后恢复。Objective To study the effect of early active activity on patients after thoracoscopic lobectomy.Methods 118 patients after thoracoscopic lobectomy hospitalized in our hospital from March 2019 to March 2020 were selected,They were divided into experimental group(57 cases)and control group according to different nursing schemes(61 cases),the experimental group applied the early active activity scheme and the control group applied the routine nursing scheme.The muscle strength grade of the two groups,the total effective rate of the two groups,the frequency of sputum suction within one week after operation,the number of postoperative hospital stay and the incidence of adverse events were compared.Results the proportion of patients with good muscle strength in the experimental group was 68.42%,which was higher than 47.54%in the control group,and the difference was statistically significant(P<0.05);after treatment,the total effective rate of the experimental group was 96.49%,and that of the control group was 83.61%.The total effective rate of the experimental group was higher than that of the control group(P<0.05);the sputum suction frequency and postoperative hospital stay in the experimental group were less than those in the control group,the difference was statistically significant(P<0.05);the incidence of adverse events in the experimental group was 12.28%,which was less than 27.87%in the control group,and the difference was statistically significant(P<0.05).Conclusion:the application of early active activity mode in patients after thoracoscopic lobectomy can improve muscle strength,reduce the incidence of adverse events,reduce the number of sputum suction and postoperative hospital stay,which is conducive to postoperative recovery,and is worthy of clinical promotion.

关 键 词：早期主动活动 胸腔镜肺叶切除术 护理方案 不良事件 

分 类 号：R47[医药卫生—护理学]