超声引导下经支气管镜针吸活检术全麻后护理研究  

Nursing study of endo-bronchial ultrasound-guided transbronchial needle aspiration after general anesthesia

作　　者：刘媛 李倩倩[1] 黄婷婷 黄凯[1] 徐兵[1] 肖华平[1] LIU Yuan;LI Qianqian;HUANG Tingting;HUANG Kai;XU Bing;XIAO Huaping(The Second Ward of Department of Special Needs,Jiangxi Cancer Hospital,Jiangxi Province,Nanchang 330029,China)

机构地区：[1]江西省肿瘤医院特需二病区,江西南昌330029

出　　处：《中国当代医药》2022年第7期160-162,167,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(20213078)。

摘　　要：目的探讨精准护理在超声引导下经支气管镜针吸活检术(EBUS-TBNA)全身麻醉后患者中的应用效果。方法选取2020年1月至2021年1月江西省肿瘤医院收治的40例肺结节、肺部占位患者作为研究对象进行回顾性分析,患者均给予EBUS-TBNA全身麻醉术,根据不同护理方式分为观察组与对照组,每组各20例。对照组患者在EBUS-TBNA全身麻醉后实施常规护理,观察组患者在EBUS-TBNA全身麻醉后,基于常规护理实施精准护理。比较两组患者术后48 h的出血量、术后胸闷发生率、取材满意率、并发症总发生率。结果观察组患者术后48 h的出血量少于对照组,差异有统计学意义(P<0.05);观察组患者的术后胸闷、并发症总发生率均低于对照组,差异有统计学意义(P<0.05);观察组患者的取材满意率高于对照组,差异有统计学意义(P<0.05)。结论精准护理在EBUS-TBNA全身麻醉后患者中的应用效果显著,可降低并发症发生率,保障患者安全。Objective To investigate the application effect of precise nursing in patients under endo-bronchial ultrasound-guided transbronchial needle aspiration(EBUS-TBNA)after general anesthesia.Methods A retrospective analysis was conducted on 40 patients with pulmonary nodules and lung placeholder admitted to Jiangxi Cancer Hospital from January 2020 to January 2021.All patients received EBUS-TBNA general anesthesia,and were divided into observation group and control group by different nursing methods,with 20 patients in each group.Patients in the control group received routine nursing after EBUS-TBNA general anesthesia,and patients in the observation group received precise nursing based on routine nursing after EBUS-TBNA general anesthesia.The amount of blood loss at 48 h after operation,incidence of postoperative chest distress,satisfaction rate of sampling and total incidence of complications were compared between the two groups.Results The amount of blood loss at 48 h after operation in observation group was less than that in the control group,the difference was statistically significant(P<0.05).The incidence of postoperative chest distress and total incidence of complications in the observation group were lower than those in the control group,with statistical significances(P<0.05).The satisfaction rate of sampling of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application effect of precise nursing in EBUS-TBNA patients after general anesthesia is significant,which can reduce the incidence of complications and ensure the safety of patients.

关 键 词：全身麻醉 精准护理 并发症 肺结节 胸闷 出血量 满意率 

分 类 号：R734.2[医药卫生—肿瘤]