摘要
[目的]探讨胸外科开胸术后病人雾化吸入开始时间对雾化吸入效果的影响,从而确定既有利于病人呼吸道功能恢复又舒适的最佳雾化开始时间。[方法]采用方便抽样的方法抽取2009年3月—5月在北京某三级甲等医院胸外科病房住院并行开胸手术术后病人61例,随机分成3组,A组为全身麻醉清醒后、B组为全身麻醉清醒后4h～6h、C组为全身麻醉清醒后12h～18h给予第一次空气压缩式雾化吸入治疗,每日3次,每次15min～20min,饭前或饭后30min进行,两次时间间隔4h～6h。连续雾化3d。记录3组病人术日至术后3d的咳嗽、咳痰、咳痰难易度、痰液性状及口咽舒适度情况。[结果]3组病人术后1d咳痰难易度、术后1d痰液性状、术后2d痰液性状、术日的口咽舒适度比较差异有统计学意义(P<0.05)。[结论]全身麻醉清醒后及全身麻醉清醒后4h～6h开始雾化吸入治疗均能更早地稀释痰液,提高病人排痰效果,增加病人的舒适度,缩短术后拔管时间。全身麻醉清醒后4h～6h开始雾化吸入治疗的病人口咽无明显不适,平均拔管时间早于全身麻醉清醒组,因此推荐全身麻醉清醒后4h～6h开始雾化吸入治疗为佳。
Objective：To probe into the influence of starting time of nebulization inhalation on effect of nebulization in thoracic surgery patients after accepting thoracotomy,so as to determine the best nebulization start time which not only helped patients for respiratory tract recovery but also let them feel comfortable.Methods：To adopt convenient sampling method,a total of 61 inpatients accepted thoracotomy in thoracic surgery ward of third grade class A hospital of Beijing city from March to May 2009 were selected,and were randomly divided into 3 groups （group A,B,C）.Patients of group A were started nebulization right after they were conscious from general anesthesia.Patients of group B were started at 4 to 6 hours wakeup after general anesthesia.And patients of group C were started nebulization at 12 to 18 hours after general anesthesia.All cases were given air compression nebulization inhalation treatment.Then all cases were given nebulization three times a day at 1 to 3 postoperative days,and every time was for 15 to 20 minutes,in 30 minutes before meals or after a meal.The interval time of twice therapies was more than 4 hours and less than 6 hours.The information of cough,expectoration,expectoration degree of difficulty,traits of sputum and oropharyngeal comfort level of all three group patients from the day of surgery to the third day after surgery were recorded.Results：There were statistically significant differences among three groups of patients in terms of expectoration degree of difficulty and traits of sputum on the first day after surgery,traits of sputum on the second day after surgery,and oropharyngeal comfort level on the operative day （all P〈0.05）.Conclusion：Right after the consciousness of patients after general anesthesia or patients were conscious between 4 to 6 hours after general anesthesia,to start nebulization inhalation treatment could dilute sputum earlier,enhance expectoration effect of patients,and increase comfort of patients.And it can shorten postoperative extubation time for patients.To start nebulization for patients conscious at 4 to 6 hours after general anesthesia were without obvious oropharyngeal discomfort,with an average extubation time earlier than those nebulized right on wakeup after general anesthesia.Therefore,to start nebulization inhalation treatment on the time of awaking four to six hours after general anesthesia should be recommended for these patients.
出处
《护理研究（上旬版）》
2010年第2期292-295,共4页
Chinese Nursing Researsh
关键词
开胸术
雾化吸入
开始时间
效果
thoracotomy
nebulization inhalation
starting time
effect
