肺复张策略在开胸手术患者中应用效果.docVIP

肺复张策略在开胸手术患者中应用效果 　　[摘要] 目的 探讨肺复张策略在开胸手术患者中的应用效果。 方法 分析内蒙古第四医院2010年2月～2015年3月收治的开胸手术患者50例临床资料，依据是否实施肺复张策略进行分组，对照组（常规护理措施）20例和观察组（常规护理措施+肺复张策略）30例。观察两组患者血流动力学指标、呼吸功能指标、护理工作质量评分、住院时间和并发症情况。 结果 两组护理前收缩压（SBP）、舒张压（DBP）、心率（HR）、血氧分压（PaO2）、血二氧化碳分压（PaCO2）比较，差异无统计学意义（P 0.05）；对照组护理后SBP、DBP、HR、PaO2均高于护理前，PaCO2低于护理前（P 0.05）；观察组护理后PaO2高于护理前，PaCO2低于护理前，SBP、DBP、HR、PaCO2低于对照组，PaO2高于对照组（P 0.05）；对照组护理后气道峰压低于护理前，肺顺应性高于护理前（P 0.05）；观察组护理后气道峰压低于护理前及对照组，肺顺应性高于护理前及对照组（P 0.05）。观察组护理工作质量评分高于对照组，住院时间短于对照组，并发症发生率低于对照组，差异有统计学意义（P 0.05）。 结论 肺复张策略在开胸手术患者中应用，可明显改善患者血流动力学和呼吸功能，预后良好，值得临床推广应用。 　　[关键词] 肺复张策略；开胸手术；应用效果 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1673-7210（2016）03（a）-0177-04 　　Application effect of lung recruitment maneuver in thoracotomy patient 　　HAO Jie 　　Department of Chest Surgery， the Fourth Hospital of Inner Mongolia， Inner Mongolia Autonomous Region， Huhhot 010080， China 　　[Abstract] Objective To discuss application effect of lung recruitment maneuver in thoracotomy patient. Methods The clinical data of 50 cases thoracotomy patients in the Fourth Hospital of Inner Mongolia from February 2010 to March 2015 were analyzed and divided into two groups by implementation lung recruitment maneuvers or not， control group （conventional nursing measure） was 20 cases and observation group （conventional nursing measure + lung recruitment maneuver） was 30 cases. The hemodynamic index， respiratory function index， nursing quality evaluation， hospital stay and incidence of complication between two groups were detected. Results SBP， DBP， HR， PaO2， PaCO2 of two groups before nursing were compared， with no statistical difference （P 0.05）. SBP， DBP， HR， PaO2 of control group after nursing were higher than before nursing， PaCO2 was lower than before nursing （P 0.05）. PaO2 of observation group after nursing was higher than before nursing， PaCO2 was lower than before nursing （P 0.05）. The airway peak pressure of control group after nursing was lower than before nursing， lung compliance was higher