呼吸道梗阻风险评估表在预防颈椎前路手术患者术后呼吸道梗阻中应用.docVIP

呼吸道梗阻风险评估表在预防颈椎前路手术患者术后呼吸道梗阻中应用 　　【摘要】 目的 探?呼吸道梗阻风险评估表在预防颈椎前路手术患者术后呼吸道梗阻中的效果。方法 2013年1月～2014年12月实施颈椎前路手术的110例患者为对照组， 行常规护理；2015年1月～ 　　2016年8月实施颈椎前路手术的110例患者为观察组， 设计颈椎前路手术患者呼吸道梗阻风险评估表， 术前用“术前呼吸道梗阻风险评估表”进行评估， 对高危患者予以术前干预， 术后再用“术后呼吸道梗阻风险评估表”进行评估， 将患者分为低危组（58例）、中危组（43例）和高危组（9例）， 根据患者的实际情况， 对不同风险级别的患者实施对应的护理措施。比较两组患者呼吸道梗阻发生情况及观察组各危险组呼吸道梗阻发生情况。结果 观察组呼吸道梗阻发生率为0.91%， 低于对照组的7.27%， 差异具有统计学意义 （χ2=5.68， P0.05）。低危组、中危组呼吸道梗阻发生率均为0， 高危组呼吸道梗阻发生率为11.11%， 高危组呼吸道梗阻发生率高于低危组及中危组， 差异均具有统计学意义 （χ2=6.54、4.87， P0.05）。结论 应用呼吸道梗阻风险评估表对颈椎前路手术患者进行评估及标准化护理， 可有效预防术后呼吸道梗阻的发生， 有利于患者的康复。 　　【关键词】 呼吸道梗阻风险评估表；颈椎前路手术；呼吸道梗阻 　　DOI：10.14163/j.cnki.11-5547/r.2017.09.083 　　Application of respiratory tract obstruction risk assessment in prevention of postoperative respiratory obstruction of anterior cervical surgery patients WANG Fang， JIANG Yao-ying， LIU Jie-zhen， et al. Department of Spine Surgery， Guangzhou City First People’s Hospital， Guangzhou 510180， China 　　【Abstract】 Objective To explore the effect of respiratory tract obstruction risk assessment in prevention of postoperative respiratory obstruction of anterior cervical surgery patients. Methods There were 110 patients implemented anterior cervical surgery received from January 2013 to December 2014 as control group， and they were treated with conventional nursing. There were 110 patients implemented anterior cervical surgery received from January 2015 to August 2016 as observation group， and respiratory tract obstruction risk assessment was designed for anterior cervical surgery patients. Before operation， patients were assessed by “preoperative respiratory tract obstruction risk assessment”， and high risk patients were treated with postoperative intervention. After operation， patients were assessed by “postoperative respiratory tract obstruction risk assessment”， and they were divided into low risk group （58 cases）， average risk group （43 cases） and high risk group （9 cases）. According to actual situation of patients， patients of different r