胸腹部大手术后患者的呼吸支持研究.docVIP

胸腹部大手术后患者的呼吸支持研究 　　[摘要] 目的 该研究对胸腹部大手术患者术后呼吸功能受损的原因进行调查总结并对集束化护理措施进行探讨。方法 方便选择2013年6月―2015年12月该院进行择期胸腹部大手术并入住ICU的患者205例并检测患者血气分析指标，将205例患者随机分为实验组及对照组，分别采取常规护理和集束化的护理模式，比较两组护理效果。 结果 胸部手术与腹部手术患者在术后24 h的血气分析结果差异有统计学意义（P0.05）。与常规护理相比，集束化护理可缩短住院时间1.96 d（P0.05），有效咳痰人数的百分比与对照组相比增加41%（P0.05），并且患者对于护理的满意度提高了9.49%（P0.05）。结论 手术刺激、疼痛、肺动脉高压及膈肌运动均可对术后的呼吸功能产生影响，采用集束化护理方法对于患者的康复具有良好的效果。 　　[关键词] 胸腹部手术；呼吸支持；集束化护理 　　[中图分类号] R65 [文献标识码] A [文章编号] 1674-0742（2017）01（c）-0170-03 　　Respiration Support Research on Patients after the Chest and Abdominal Operation 　　HONG Yuan-zhu1， ZHENG Pei-xuan2，LIN Chun-rong2， LIN Wei-hua1， FU Li-cheng1，YANG Yu-zhen3， DAI Ping-ping1 　　1.ICU， Nanan Hospital， Quanzhou， Fujian Province， 362300 China；2.Department of nursing， Nanan Hospital， Quanzhou， Fujian Province， 362300 China；3.Department of rehabilitation， Nanan Hospital， Quanzhou， Fujian Province， 362300 China 　　[Abstract] Objective To summarize the causes of respiration function defect of patients after the chest and abdominal operation and study the cluster nursing measures. Methods Convenient selection 205 cases of patients with selective chest and abdominal operation in ICU in our hospital from June 2013 to December 2015 were selected and the blood gas analysis indexes were tested， and 205 cases of patients were randomly divided into two groups， the experimental group adopted the cluster nursing model， while the control group adopted the routine nursing， and the nursing effect of the two groups was compared. Results The difference in the blood gas analysis result between patients with chest operation and patients with abdominal operation in 24h after operation had statistical significance（P0.05）， and compared with the routine nursing， and the cluster nursing could shorten the length of stay， and the ratio of effective expectoration number increased by 41% compared with that in the control group（P0.05）， and the nursing satisfactory degree of patients increased by 9.49%（P0.05）. Conclusion Operativ