摘要
目的探讨综合呼吸功能护理对肺外科手术患者术后肺功能恢复的作用。方法选取2017年1月~2018年12月间我区收治的797例肺外科手术患者为研究对象,采用电脑随机法将其分为观察组399例与对照组398例,观察组在常规围术期护理基础上应用综合呼吸功能护理训练,对照组采用常规围术期护理,评价两组患者第1秒用力呼气量(FEV1)、1 s率(FEV1/FVC)、最大分钟通气量(MVV)、血氧饱和度(SpO2)及并发症发生情况。结果观察组护理后SpO2、MVV、FEV1、FEV1/FVC值优于护理前,差异有统计学意义(P<0.05)。观察组患者术后并发症发生率为2.26%,低于对照组的8.54%,差异有统计学意义(P<0.05)。结论肺外科手术患者围术期进行综合呼吸功能护理干预可有效改善患者肺功能,降低并发症风险。
Objective To observe the effect of comprehensive respiratory function nursing on postoperative pulmonary function recovery of patients with pulmonary surgery.Methods 797 cases of pulmonary surgery patients admitted to Fuzhou Pulmonary Hospital from January 2017 to December 2018 were selected as the research subjects.They were divided into observation group(n=399)and control group(n=398)using computer random method.The observation group applied comprehensive respiratory function nursing training on the basis of routine perioperative nursing,while the control group used routine perioperative nursing.The forced expiratory volume in 1 s(FEV1)and 1 s rate(FEV1/FVC),maximum ventilatory volume(MVV),oxygen saturation(SpO2)and complications were evaluated between the two groups.Results The values of SpO2,MVV and FEV1/FVC in the observation group were significantly higher than those before nursing(P<0.05).The incidence of postoperative complications in the observation group was 2.26%,which was lower than that in the control group(8.54%)(P<0.05).Conclusion The nursing intervention of comprehensive respiratory function can effectively improve the pulmonary function and reduce the risk of complications of patients with pulmonary surgery.
作者
黄晓云
罗恒秀
江炳贞
HUANG Xiaoyun;LUO Hengxiu;JIANG Bingzhen(Thoracic Surgery Department I,Fuzhou Pulmonary Hospital of Fujian Province,Fuzhou350007,China)
出处
《中国现代医生》
2020年第5期165-167,共3页
China Modern Doctor
关键词
呼吸功能
护理
肺外科
手术
肺功能
Respiratory function
Nursing
Pulmonary surgery
Operation
Pulmonary function