腹部手术后低氧血症的原由分析及护理.pdfVIP

·4 · 护理研究 2002 年 1 月第 16 卷第 1 期 　CHIN ESE NURSIN G RESEARCH 　January ,2002 Vol. 16 No. 1 ·论　著· 腹部手术后低氧血症的原因分析及护理 高素青 摘要 :为了解腹部手术后低氧 Causative Analysis and Nursing Care of Patients With Hypox 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 emia After Accepted Abdomen Sur gery 理 ,对 63 例腹部中等以上手术 Gao Suqing ( General Hospital of Jinan Military Region of PLA , Shandong 250031 病人手术前后的动脉血氧分压 China) (PaO2 ) 的变化进行观察 ,结果 手 术 后 PaO2 较 术 前 下 降 Abstract :To understand the hypoxemia related factors of patients accepted abdomen 2. 21 kPa ±1. 56 kPa ,并有统 surgery and to strengthen both prevention and nursing care of patients with post - ( ) 计学意义 P 0 . 0 5 ; 术后 surgical hypoxemia , 63 cases were selected and PaO2 changes in patients before and 79. 4 %病人出现了低氧血症 , 其中 66. 0 %病人于术后 5 d～ after the operation were observed and analyzed. Results showed that PaO2 of patients 10 d 恢复。显示上腹部手术、 are obviously lower after the operation than that before the operation ( P 0. 05) . 术前有肺部并发症、50 岁以上 After the operation , patients ’PaO2 2. 21 kPa ±1. 56 kPa lowered down in average. 病人术后的 PaO2 变化明显 ,低 79. 4 % of patients had hypoxemia after operation. But 66. 0 % of them were recov 氧血症发生率高 ,且持续时间 ered within 5 days to 10 days. It also showed that patients with epigastric opera 长。建议 :护理人员充分认识 tion , complicated with pulmonary diseases , over 50 years old were with overt 腹部手术后的低氧血症 , 并采 changes of PaO . They were more prone to have hypoxemia and it persisted longer. 2 取术前健康宣教 ,