分时护理在肺癌患者术后机械吸痰中的效果及其对血气指标的影响

Effect of time-selecting nursing on postoperative mechanical suction of phlegm in lung cancer patients and its influences on blood gas indexes

  • 摘要: 目的 探讨分时护理在肺癌手术患者术后机械吸痰中的应用效果及对动脉血气指标的影响。 方法 选取接受手术治疗的肺癌患者102例,随机分为观察组和对照组,各51例。观察组患者接受分时护理下机械吸痰,对照组采取常规护理下机械吸痰。比较2组患者临床效果、临床指标、住院时间及干预前后动脉血气指标的变化情况,并记录2组患者住院期间并发症的发生情况。 结果 观察组的干预有效率为92.16%, 显著高于对照组的76.47%(P<0.05)。观察组患者干预后的心率(HR)和住院时间显著低于、短于对照组,血氧饱和度(SpO2)显著高于对照组(P<0.05)。干预后, 2组患者的酸碱度(pH值)、动脉血氧分压[p(O2)]水平显著升高,动脉血二氧化碳分压[p(CO2)]水平显著下降,且观察组干预后p(O2)、p(CO2)水平显著优于对照组(P<0.05)。观察组术后并发症发生率为9.80%, 显著低于对照组的31.37%(P<0.05)。 结论 对肺癌术后机械吸痰的患者采用分时护理模式可显著改善患者的血气指标,术后并发症少。

     

    Abstract: Objective To explore effect of time-selecting nursing on postoperative mechanical suction of phlegm in lung cancer patients and its influences on blood gas indexes. Methods A total of 102 patients with lung cancer were selected and randomly divided into observation group and control group, with 51 cases in each group. The observation group was treated with mechanical suction of phlegm under time-selecting nursing, while control group was given mechanical suction of phlegm under routine nursing. The clinical effect, clinical indexes, hospitalization time, and changes of arterial blood gas indexes before and after intervention were compared between the two groups. The incidence of complications during hospitalization was recorded in both groups. Results The effective rate of intervention in observation group was 92.16%, which was significantly higher than 76.47% in control group(P<0.05). After intervention, heart rate(HR)and hospitalization time of observation group were significantly better than those of control group(P<0.05). After intervention, while blood oxygen saturation(SpO2)was significantly higher than that of control group(P<0.05). After intervention, the pH value and arterial oxygen partial pressure [p(O2)] in both groups significantly increased, while arterial carbon dioxide partial pressure [p(CO2)] significantly decreased in both groups, and levels of p(O2)and p(CO2)in the observation group were significantly better than those - in the control group(P<0.05). The incidence of postoperative complications in the observation group was 9.80%, which was significantly lower than 31.37% in the control group(P<0.05). Conclusion The implementation of time-selecting nursing for patients with mechanical suction of phlegm after lung cancer surgery can significantly improve the blood gas indexes, and has less postoperative complications.

     

/

返回文章
返回