急性压力性损伤风险防控护理在行肺癌根治术患者中的应用效果  

Application effect of acute stress injury risk prevention and control nursing in patients undergoing radical lung cancer surgery

作　　者：张建梅[1] 阎莉[1] 陈玲 王凯[1] 杨静[1] 徐梅霞[1] ZHANG Jianmei;YAN Li;CHEN Ling;WANG Kai;YANG Jing;XU Meixia(Department of Surgical Anesthesiology,the Affiliated Huaian NO.1 People’s Hospital of Nanjing Medical University,Jiangsu Province,Huaian 223300,China)

机构地区：[1]南京医科大学附属淮安第一医院手术麻醉科,江苏淮安223300

出　　处：《中国医药导报》2024年第16期181-183,187,共4页China Medical Herald

基　　金：江苏省重点研发计划项目(BE2020634)。

摘　　要：目的探究急性压力性损伤风险防控护理在行肺癌根治术患者中的应用效果。方法选取2022年1月至2023年1月南京医科大学附属淮安第一医院120例行肺癌根治术患者作为研究对象,按照随机数字表法将其分为对照组和观察组,各60例。对照组采取常规手术护理措施,观察组应用术中急性压力性损伤风险防控护理。比较两组手术相关指标变化及并发症。结果术毕时,两组气道压、平均脉压、心率、体温、乳酸、血氧饱和度高于术前即刻,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论在行肺癌根治术患者中采用急性压力性损伤风险防控护理,可有效改善患者手术相关指标,降低并发症发生率,提高预后效果,值得临床推广采纳。Objective To explore the application effect of acute stress injury risk prevention and control nursing in patients undergoing radical of lung cancer surgery.Methods A total of 120 patients undergoing radical resection of lung cancer from January 2022 to January 2023 in the Affiliated Huaian NO.1 People’s Hospital of Nanjing Medical University were selected as the study objects,and according to the random number table method,they were divided into control group and observation group,with 60 cases in each group.The control group was treated with routine operation nursing measures,and the observation group was treated with intraoperative acute stress injury risk prevention and control nursing.The changes of operative indexes and complications were compared between the two groups.Results After the operation,the airway pressure,mean pulse pressure,heart rate,body temperature,lactic acid and blood oxygen saturation of two groups were higher than those immediately before surgery,and the observation group was higher than the control group,the difference was statistically significant(P<0.05);the total complication rate of observation group was lower than that of control group,and the difference was statistically significant(P<0.05).Conclusion In the face of patients undergoing radical surgery for lung cancer,acute stress injury risk prevention and control nursing is needed,which can effectively improve the surgical indicators of patients,reduce the incidence of complications,and improve the prognosis effect,and is worthy of clinical promotion and adoption.

关 键 词：急性压力性损伤风险防控护理 肺癌根治术 并发症 手术相关指标 

分 类 号：R473[医药卫生—护理学]