摘要
为了解腹部手术后低氧血症的相关因素 ,有针对性地加强术后低氧血症的预防及护理 ,对 63例腹部中等以上手术病人手术前后的动脉血氧分压(PaO2 )的变化进行观察 ,结果手术后PaO2 较术前下降2 .2 1kPa± 1.5 6kPa ,并有统计学意义 (P <0 .0 5 ) ;术后79.4%病人出现了低氧血症 ,其中 66.0 %病人于术后 5d～10d恢复。显示上腹部手术、术前有肺部并发症、5 0岁以上病人术后的PaO2 变化明显 ,低氧血症发生率高 ,且持续时间长。建议 :护理人员充分认识腹部手术后的低氧血症 ,并采取术前健康宣教 ,围手术期给予正规的氧疗及有效的呼吸系统管理 ,以防治腹部手术后低氧血症的发生。
To understand the hypoxemia related factors of patients accepted abdomen surgery and to strengthen both prevention and nursing care of patients with post-surgical hypoxemia, 63 cases were selected and PaO 2 changes in patients before and after the operation were observed and analyzed. Results showed that PaO 2 of patients are obviously lower after the operation than that before the operation (P<0.05). After the operation, patients' PaO 2 2.21kPa±1.56kPa lowered down in average. 79.4% of patients had hypoxemia after operation. But 66.0% of them were recovered within 5days to 10days. It also showed that patients with epigastric operation, complicated with pulmonary diseases, over 50 years old were with overt changes of PaO 2. They were more prone to have hypoxemia and it persisted longer. Suggested that nursing staff should know the post-surgical hypoxemia and give patients health education before operation. It is necessary to give patients oxygen inhalation in peri-surgical period, and to give them effective respiratory system management to prevent the post-surgical hypoxemia from happening.
出处
《护理研究》
2002年第1期4-5,共2页
Chinese Nursing Research
