精准化术前气道评价管理在肺癌患者术后快速康复中的应用研究  

Application of precise preoperative airway assessment in enhanced recovery after surgery for patients with lung cancer

作　　者：潘海燕 伍冬冬 朱斯敏 袁旭晶 戴建娟 陈志军 PAN Haiyan;WU Dongdong;ZHU Simin;YUAN Xujing;DAI Jianjuan;CHEN Zhijun(不详;Department of Nursing,Zhoushan Hospital,Zhoushan 316000,China)

机构地区：[1]舟山医院护理部,316000 [2]舟山医院胸心外科,316000

出　　处：《浙江医学》2023年第10期1067-1070,共4页Zhejiang Medical Journal

基　　金：舟山市医药卫生科技计划项目(2015G06)。

摘　　要：目的探讨精准化术前气道评价管理在肺癌患者术后快速康复中的应用效果。方法选取2020年9月至2021年10月在舟山医院行肺癌切除手术的患者356例。其中2020年9月至2021年3月收治的191例患者为对照组,接受围术期常规护理;2021年4月至2021年10月收治的165例患者为观察组,在围术期常规护理基础上接受精准化术前气道评价管理,包括组建气道管理小组、制定《肺癌术后气道并发症高风险评估表》、给予气道并发症高风险患者个性化围术期气道管理措施。比较两组患者术后气道高反应、术后肺炎发生情况和术后住院时间、胸腔引流管留置时间。结果观察组患者术后气道高反应发生率、术后肺炎发生率均低于对照组(6.06%比13.09%、1.82%比8.90%,均P<0.05)。观察组患者术后住院时间、胸腔引流管留置时间均短于对照组[(6.88±2.08)d比(8.06±4.02)d、(82.66±21.73)h比(97.63±33.01)h,均P<0.05]。结论采用精准化术前气道评价管理肺癌患者有助于降低术后气道高反应和肺炎发生风险,缩短住院时间,有助于术后快速康复。Objective To explore the effect of precise preoperative airway assessment in enhanced recovery after surgery(ERAS)for patients with lung cancer.Methods A total of 356 patients who underwent lung cancer resection in Zhoushan Hospital from September 2020 to October 2021 were enrolled.Among them,191 patients admitted between September 2020 and March 2021 received routine perioperative nursing(control group);and 165 patients admitted between April 2021 and October 2021 received precise preoperative airway assessment in addition of routine nursing(study group).Postoperative airway hyperreaction,postoperative pneumonia,length of postoperative hospital stay and indwelling time of thoracic drainage tube were compared between the two groups.Results The incidence of postoperative airway hyperreaction and postoperative pneumonia in study group were lower than those in control group(6.06%vs.13.09%,1.82%vs.8.90%,both P<0.05).The length of postoperative hospital stay and indwelling time of thoracic drainage tube in study group were significantly shorter than those in control group(6.88±2.08 d vs.8.06±4.02 d and 82.66±21.73 h vs.97.63±33.01 h,both P<0.05).Conclusion The implementation of precise preoperative airway assessment can effectively reduce the incidence of postoperative pulmonary complications,shorten the length of hospital stay,and accelerate the postoperative recovery of patients.

关 键 词：精准化气道评价管理 肺癌 术后 快速康复 

分 类 号：R734.2[医药卫生—肿瘤]