集束化护理对急性Stanford A型主动脉夹层术后患者的影响  

Effect of Cluster Nursing in Patients with Type Stanford A Aortic Dissection Surgery

作　　者：贾慧[1] 张洁[1] 刘秀[1] Jia Hui;Zhang Jie;Liu Xiu(Subei People′s Hospital,Yangzhou Jiangsu 225000,China)

机构地区：[1]苏北人民医院,江苏扬州225000

出　　处：《齐鲁护理杂志》2023年第14期27-29,共3页Journal of Qilu Nursing

基　　金：2021年度苏北人民医院科研基金资助项目(编号:SBKY21066)。

摘　　要：目的:探讨集束化护理对急性Stanford A型主动脉夹层术后患者的影响。方法:选取2021年1月1日~2022年5月31日收治的Stanford A型主动脉夹层术后气管插管转入心脏外科重症监护室(CICU)的100例患者为研究对象,采用随机数字表法分为观察组和对照组各50例;对照组给予常规护理,观察组在对照组基础上给予集束化护理。比较两组膈肌移动度、膈肌厚度、潮气量、格拉斯哥昏迷评分法(GCS)评分、机械通气时长、低氧血症发生率。结果:观察组膈肌移动度、膈肌厚度、潮气量均高于对照组(P<0.05);干预后,两组GCS评分均高于干预前(P<0.05),且观察组高于对照组(P<0.05);观察组机械通气时长、低氧血症发生率均少于对照组(P<0.05)。结论:将集束化护理应用于急性Stanford A型主动脉夹层手术患者中,可改善膈肌功能及昏迷情况,缩短机械通气时长,降低低氧血症发生率。Objective:To explore the effect of cluster nursing in patients with type Stanford A aortic dissection.Methods:A total of 100 patients admitted from January 1,2021 to May 31,2022 and transferred to CICU after Stanford A aortic dissection were selected as the study subjects,and by the random number table method divided into the observation group and the control group,with 50 cases in each group.The control group was given routine nursing,and the observation group was given cluster nursing on the above basis.The diaphragm mobility,diaphragm thickness,tidal volume,Glasgow coma score(GCS),length of mechanical ventilation,and the incidence of hypoxemia were compared between the two groups.Results:The diaphragm mobility,diaphragm thickness and tidal volume were higher in the observation group than those in the control group(P<0.05).After intervention,the GCS scores were higher in both groups than those before intervention(P<0.05),and higher in the observation group than those in the control group(P<0.05).The mechanical ventilation and the incidence of hypoxemia were lower in the observation group than those in the control group(P<0.05).Conclusion:Application of cluster nursing can improve the diaphragm function and coma in patients with type Stanford A aortic dissection surgery,and reduce the length of mechanical ventilation and the incidence of hypoxemia.

关 键 词：体外膈肌起搏 Stanford A型主动脉夹层 机械通气 膈肌功能 低氧血症 

分 类 号：R473.6[医药卫生—护理学]