探讨SA结合纤维支气管镜放置金属支架治疗恶性大气道狭窄的护理措施.docVIP

探讨DSA结合纤维支气管镜放置金属支架治疗恶性大气道狭窄的护理措施 熊文珍(广州市红十字会医院屮心ICU科 510375) 】目的观察在数字减影血管造影(DSA)结合纤维支气管镜下放置金属支 架用以治疗恶性大气道狭窄的疗效及护理措施效果。方法选取2008年2月至 2011年2月期间本科室收治的恶性人气道狭窄患者32例，将其随机分成2组, 一般护理组(n=14＞以及加强护理组(n=18)。一般护理组进行一般护理措施，加强 护理组在一般护理的基础上进行加强护理，以强化心理护理为主，辅以心理恢复 和功能恢复。观察患者病情恢复情况及评定幸福感量表(MUN-SH)。结果患者 术后呼吸改善率比较差异不明显(Pgt;0.05), PaO2和PaCO2的检测结果与治疗 前差异很大(Plt;0.05)，但两组间比较没有明显差别(Plt;0.05)，住院时间相互比 较也无明显差异(Pgt;0.05);但MUN-SH评分显示主观幸福感比较加强护理组明 显优于一般护理组(Plt;0.05)。结论加强护理对于术后患者通气状况影响不大， 但能有效提高患者主观幸福感，有助于患者稳定病情和提高生活质量。 关键词】恶性大气道狭窄数字减影血管造影纤维支气管镜金属支架临 床护理 屮图分类号】R472 】B 】2095-1752 (2012) 15-0273-02 Discussing the nursing measure of using DSA combined with fiber optic bronchoscope which placed metallic support to treat malignant atmospheric narrow Xiong Wenzhen Guangzhou Red Cross Hospital center, ICU department 510220. Abstract】 objectives:To observe the curative effect and nursing effect of nursing measure of using DSA combined with fiber optic bronchoscope which placed metallic support to treat malignant atmospheric narrow. Methods: Chose 32 of these patients who have been treated at our department for malignant atmospheric narrow from February 2008 to February 2011,and divided them into general care group(n=14) and intensive care group(n=18) randomly. Given general nursing measures to the patients who in the general care group, while given intensive nursing to these who in the intensive care group on the basis of the general nursing,primarily strengthen psychological nursing and with the mental recovery and restore function.Observed patients recovery conditions and assessed happiness scale(MUN-SH). Results: There are no obvious differences in patients1 breathing improvement rate after the operation(pgt;0.05),but the PaO2 and PaCO2 exam results are obviously different from before treatment(Plt;0.05),while there is no evident differences between two groups (Plt;0.05)， compared with their hospital stays,there is also no evident differences(Pgt;0.05);But according to the MUN-SH grade,,the i