创伤性气胸患者的临床观察与护理体会  

Clinical Observation and Nursing Experience of Patients with Traumatic Pneumothorax

作　　者：任晓婧 REN Xiaojing(Liaoning Jinzhou Central Hospital,Jinzhou 121000,China)

机构地区：[1]辽宁省锦州市中心医院,辽宁锦州121000

出　　处：《中国医药指南》2022年第1期17-20,共4页Guide of China Medicine

摘　　要：目的探讨创伤性气胸的临床观察和有效护理策略。方法此次研究工作在我院开展,起止时间为2020年1月至2021年3月,将此期间入我院接受治疗的68例创伤性气胸患者通过自愿原则分为观察组和对照组,取均数各为34例。对所有患者进行常规的临床观察和治疗,之后观察组通过精细化护理,而对照组配合常规护理,比较不同护理的效果。结果观察组(32例,占94.12%)的救治效果明显比对照组(23例,占67.65%)更高,差异有统计学意义(P<0.05);观察组(3例,占8.82%)的并发症发生率明显低于对照组(11例,占32.35%),差异有统计学意义(P<0.05);观察组患者护理之后的咳嗽程度评分、排痰难度评分、痰液黏稠度评分、肺部湿啰音评分明显低于对照组,差异有统计学意义(P<0.05);观察组患者护理以后的肺功能改善指标明显优于对照组,差异有统计学意义(P<0.05);观察组护理以后,生活质量评分明显比对照组更高,差异有统计学意义(P<0.05)。结论对创伤性气胸患者在常规的观察与治疗基础上配合精细化护理可提升患者的救治效果,降低并发症发生概率,改善患者的呼吸功能和肺功能,提升整体生活质量,值得推荐。Objective To discuss the clinical observation and effective nursing strategy of traumatic pneumothorax.Methods The research work was carried out in our hospital,starting and ending from January 2020 to March 2021.During this period,68 patients with traumatic pneumothorax admitted to our hospital for treatment were divided into observation group and control group on a voluntary basis.The mean was 34 cases each.All patients were subjected to routine clinical observation and treatment.Afterwards,the observation group received refined care,while the control group combined with routine care to compare the effects of different care.Results The treatment effect of the observation group(32 cases,accounting for 94.12%)was significantly higher than that of the control group(23 cases,accounting for 67.65%),and the difference was statistically significant(P<0.05);the observation group(3 cases,accounting for 8.82%)the incidence of complications was significantly lower than that of the control group(11 cases,accounting for 32.35%),and the difference was statistically significant(P<0.05);the observation group's cough degree score and row after nursing the sputum difficulty score,sputum viscosity,and pulmonary rales score were significantly lower than those of the control group,and the difference was statistically significant(P<0.05);the observation group had significantly better lung function improvement indicators after nursing In the control group,the difference was statistically significant(P<0.05);after nursing,the quality of life score of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion On the basis of routine observation and treatment of traumatic pneumothorax,it can improve the treatment effect of patients,reduce the incidence of complications,improve the respiratory function and lung function of patients,and improve the overall quality of life.It is worth recommending.

关 键 词：创伤性气胸 精细化护理 常规护理 临床观察 呼吸功能 肺功能 并发症 

分 类 号：R473.6[医药卫生—护理学]