基于加速康复外科理念的肺癌患者围术期气道管理方案构建与应用  

Construction and application of a perioperative airway management regimen for lung cancer patients based on the concept of enhanced recovery after surgery(ERAS)

作　　者：王敏[1] 曾苏华[1] 胡海霞 章芳 戴少华[1] Wang Min;Zeng Suhua;Hu Haixia;Zhang Fang;Dai Shaohua(Department of Thoracic Surgery,The First Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院胸外科,江西南昌330006

出　　处：《护理学杂志》2022年第19期1-4,共4页Journal of Nursing Science

基　　金：江西省教育厅科学技术研究项目(GJJ210137)。

摘　　要：目的提高肺癌患者围术期气道管理效果。方法将256例行胸腔镜下肺部切除术肺癌患者按入院时间分为对照组115例、观察组141例。对照组行常规气道护理管理,观察组构建并实施基于加速康复外科理念的肺癌患者围术期气道管理方案。结果干预后,观察组潮气量、分钟通气量、动脉血氧分压显著高于对照组(均P<0.05),痰液黏稠度及主动咳嗽力量显著优于对照组(均P<0.05);肺部并发症发生率、机械通气时间与住院时间显著少于对照组(均P<0.05)。结论基于加速康复外科理念的肺癌患者围术期气道管理方案应用于肺癌手术患者,能改善术后呼吸功能,降低并发症,缩短住院时间。Objective To enhance the effect of perioperative airway management for lung cancer patients.Methods Totally,256 patients undergoing thoracoscopic pulmonary resection for lung cancer were assigned to a control group of 115 and an experimental group of 141 chronologically.The control group was given routine airway management,while their counterparts in the experimental group were subjected to perioperative airway management based on the ERAS concept.Results Compared with the control group,the experimental group had significantly higher tidal volume,minute ventilation and arterial partial pressure of oxygen,reduced sputum viscosity and increased cough strength(all P<0.05).The incidence of complications,duration of mechanical ventilation,and length of hospital stay in the experimental group were significantly lower/shorter than those in the control group(all P<0.05).Conclusion Perioperative airway management based on the ERAS concept for lung cancer patients can improve respiratory function,reduce complications,and shorten hospital stay.

关 键 词：肺癌 肺部切除术 加速康复外科 气道管理 痰液黏稠度 呼吸机相关性肺炎 机械通气 围术期护理 

分 类 号：R473.6[医药卫生—护理学] R493[医药卫生—临床医学]