术前氧气雾化吸入沐舒坦对胸外科术后患者肺部并发症的影响.pdfVIP

i 护理实践与研究2012年第9卷第24期 (下半月版 · 9 · 术前氧气雾化吸人沐舒坦对胸外科术后患者 肺部并发症的影响 钟丽平 傅爱凤 陈丹琼 刘桔慧 欧运娇 李 灼 摘 要 目的：探讨术前氧气雾化吸入沐舒坦对胸外科术后患者咳嗽频率、痰液黏稠度、肺部并发症的影响。方法：将 148例患者随机分为观察 组73例和对照组75例，对照组执行常规护理，观察组在常规护理基础上术前给予氧气雾化吸入小剂量沐舒坦。比较两组患者咳嗽频率、痰液 黏稠度、排痰效果、肺部并发症发生情况。结果：两组患者术后第4d咳嗽频率、痰液黏稠度 、排痰效果、肺部并发症发生情况比较有统计学意义 (P0．05)。结论 ：术前氧气雾化吸入沐舒坦能减少胸外科术后患者的咳嗽频率，降低痰液黏稠度，改善排痰效果，降低肺部并发症发生，增加患 者舒适感，促进患者顺利康复。 关键词 氧气雾化吸人；咳嗽；痰液黏稠度；肺不张；肺部感染 doi：1O．3969／j．issn．1672—9676．2012．24．004 TheeffectofpreoperativeoxygenatomizinginhalationofmucosolvanOilthepostsurgicalpulmonarycomplicationsinpatinetsafterchestsurgery ． ZHONGLi—ping，FUAi—feng，CHENDan—qiong，etal(BaoallPeopleSHospitalAffiliatedtoSouthernMedicalUniversity，Shenzhen 518101) Abstract Objective：Toinvestigatetheeffectofpreoperativeoxygenatomi~nginhalationof Muocsolvanonthepostoperativepatientsinchestsurgery withcoughfrequency．phlegmyfluidviscosityandpulmonarycomplications．Methods：The148cgse8wererandomlydividedintoobservationgroupnadcontrol groupwith73casesnad75casesrespectively．Control[groupperformedroutinenursing，observationgroupbasedonroutinenursing，preoperativeoxygenatomi· zinginhalationofsmalldosesofMuocsolvanwefegiven．Theincidenceofcouhgfrequency，phlegmyfluidviscosity。theeffcetsofdischargingsputumandpulmo· narycomplicationsWerecomparedbetweenthewtogroups．Results：Twogroupshadstatisticssignjficaneeinthecoughfrequency，phlegmyfluidviscosity，effcets ofsputum，pulmonarycomplicationsonthefourthdaysafterpostoperation(PO．05)．Conclusion：OxygenatomizinginhalationofMuocsolvnabeforeoperation onthepostoperativepatientsinchestsurgerymaydcereasecouhgfreuqencynadreducephlegmyfluidviscosity，improvetheeffcetsofdischargingsputumand decreasethepulmonarycomplicationseffcetively，alsocaninc