现代临床护理
現代臨床護理
현대림상호리
MODERN CLINICAL NURSING
2014年
7期
40-43
,共4页
黄琼珊%黄少兰%李咏梅%谢晓云%杨晓瑜%韩红
黃瓊珊%黃少蘭%李詠梅%謝曉雲%楊曉瑜%韓紅
황경산%황소란%리영매%사효운%양효유%한홍
临床护理路径%食管癌%呼吸锻炼
臨床護理路徑%食管癌%呼吸鍛煉
림상호리로경%식관암%호흡단련
clinical nursing path%esophageal cancer%respiratory function exercise
目的：探讨临床护理路径在食管癌术后病人呼吸功能锻炼中的应用效果。方法选择60例实施食管癌手术病人，按时间段分为观察组和对照组，每组各30例，对照组病人术前后采用常规护理方法，观察组病人术前后采用临床路径进行呼吸功能锻炼。比较两组病人术后第5天血气分析、第10天肺功能各项指标及术后住院期间肺部并发症发生情况。结果观察组病人动脉血氧分压（partial pressure of oxygen in artery，PaO2）、肺活量（vital capacity，VC）、最大自主通气量（maximal voluntary ventilation，MVV）、第1秒用力呼气容积（forced expirator volume in one second，FEV1）、第1秒用力呼气容积占肺活量比值（forced expiratory volume in one second to forced vital capacity ratio，FEV1/FVC）明显高于对照组，并发症发生率明显低于对照组，两组比较，均P＜0.05，差异具有统计学意义。结论应用临床护理路径有计划地对术前后食管癌病人进行呼吸功能锻炼，可促进食管癌手术病人围手术期肺功能恢复，减少术后并发症的发生。
目的：探討臨床護理路徑在食管癌術後病人呼吸功能鍛煉中的應用效果。方法選擇60例實施食管癌手術病人，按時間段分為觀察組和對照組，每組各30例，對照組病人術前後採用常規護理方法，觀察組病人術前後採用臨床路徑進行呼吸功能鍛煉。比較兩組病人術後第5天血氣分析、第10天肺功能各項指標及術後住院期間肺部併髮癥髮生情況。結果觀察組病人動脈血氧分壓（partial pressure of oxygen in artery，PaO2）、肺活量（vital capacity，VC）、最大自主通氣量（maximal voluntary ventilation，MVV）、第1秒用力呼氣容積（forced expirator volume in one second，FEV1）、第1秒用力呼氣容積佔肺活量比值（forced expiratory volume in one second to forced vital capacity ratio，FEV1/FVC）明顯高于對照組，併髮癥髮生率明顯低于對照組，兩組比較，均P＜0.05，差異具有統計學意義。結論應用臨床護理路徑有計劃地對術前後食管癌病人進行呼吸功能鍛煉，可促進食管癌手術病人圍手術期肺功能恢複，減少術後併髮癥的髮生。
목적：탐토림상호리로경재식관암술후병인호흡공능단련중적응용효과。방법선택60례실시식관암수술병인，안시간단분위관찰조화대조조，매조각30례，대조조병인술전후채용상규호리방법，관찰조병인술전후채용림상로경진행호흡공능단련。비교량조병인술후제5천혈기분석、제10천폐공능각항지표급술후주원기간폐부병발증발생정황。결과관찰조병인동맥혈양분압（partial pressure of oxygen in artery，PaO2）、폐활량（vital capacity，VC）、최대자주통기량（maximal voluntary ventilation，MVV）、제1초용력호기용적（forced expirator volume in one second，FEV1）、제1초용력호기용적점폐활량비치（forced expiratory volume in one second to forced vital capacity ratio，FEV1/FVC）명현고우대조조，병발증발생솔명현저우대조조，량조비교，균P＜0.05，차이구유통계학의의。결론응용림상호리로경유계화지대술전후식관암병인진행호흡공능단련，가촉진식관암수술병인위수술기폐공능회복，감소술후병발증적발생。
Objective To evaluate the effects of clinical nursing path on respiratory function exercise of patients with esophageal carcinoma.Methods A total of 60 postoperative patients with esophageal cancer were divided into the observation group and the control group according to the time period with 30 cases in each group.The observation group was given the clinical nursing pathway care in their respiratory exercise,and the control group routine nursing before and after the operation. The two groups were compared in terms of blood gas analysis implement on 5th day,pulmonary function on 10 th day and pulmonary complications after operation.Results PaO2,VC,MVV,FEV1 and FEV1/FVC in the observation group were much better than those of the control group.The incidence of complications was obviously lower than that of the control group(P<0.05). Conclusion Clinical nursing path used in respiratory function training of perioperative patients is effective for the improvement of pulmonary function and reduction of postoperative complications.
