中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
33期
4000-4003
,共4页
结核,胸椎%肺功能%经胸入路手术%护理干预
結覈,胸椎%肺功能%經胸入路手術%護理榦預
결핵,흉추%폐공능%경흉입로수술%호리간예
Thoracic tuberculosis%Pulmonary function%Transthoracic approach surgery%Nursing intervention
目的 探讨护理干预对胸椎结核经胸入路手术患者肺功能的影响.方法 将80例拟行经胸入路胸椎结核手术患者随机分为干预组和对照组各40例,对照组术前、术后采用常规护理,干预组在常规护理的基础上进行综合护理干预,于入院第1天,术后1d,术后7d分别对两组患者进行肺功能检测、动脉血气分析,比较肺活量(VC)、最大通气量(MVV)、1秒用力呼气容量(FEV1)、1秒量比用力肺活量(FEV/FVC)、动脉血氧分压(PaO2),动脉二氧化碳分压(PaCO2)、动脉血氧饱和度(SaO2).结果 两组患者入院第1天各项肺功能指标比较,差异无统计学意义(P＞0.05),术后1d、7d干预组VC(t分别为6.326,5.276)、MVV(t分别为5.958,4.742)、FEV1(t分别为5.656,4.356)、FEV1/FVC(t分别为5.066,4.866)、PaO2(t分别为8.937,6.837)、SaO2(t分别为5.213,4.113)均高于对照组,PaCO2低于对照组[(48.7±3.1)％比(40.7±2.5)％,(44.3±3.2)％比(38.2±2.4)％],差异均具有统计学意义(t分别为3.157,2.557;P＜0.05).结论 综合护理干预能有效改善经胸入路胸椎结核手术患者的肺功能,预防肺部并发症.
目的 探討護理榦預對胸椎結覈經胸入路手術患者肺功能的影響.方法 將80例擬行經胸入路胸椎結覈手術患者隨機分為榦預組和對照組各40例,對照組術前、術後採用常規護理,榦預組在常規護理的基礎上進行綜閤護理榦預,于入院第1天,術後1d,術後7d分彆對兩組患者進行肺功能檢測、動脈血氣分析,比較肺活量(VC)、最大通氣量(MVV)、1秒用力呼氣容量(FEV1)、1秒量比用力肺活量(FEV/FVC)、動脈血氧分壓(PaO2),動脈二氧化碳分壓(PaCO2)、動脈血氧飽和度(SaO2).結果 兩組患者入院第1天各項肺功能指標比較,差異無統計學意義(P＞0.05),術後1d、7d榦預組VC(t分彆為6.326,5.276)、MVV(t分彆為5.958,4.742)、FEV1(t分彆為5.656,4.356)、FEV1/FVC(t分彆為5.066,4.866)、PaO2(t分彆為8.937,6.837)、SaO2(t分彆為5.213,4.113)均高于對照組,PaCO2低于對照組[(48.7±3.1)％比(40.7±2.5)％,(44.3±3.2)％比(38.2±2.4)％],差異均具有統計學意義(t分彆為3.157,2.557;P＜0.05).結論 綜閤護理榦預能有效改善經胸入路胸椎結覈手術患者的肺功能,預防肺部併髮癥.
목적 탐토호리간예대흉추결핵경흉입로수술환자폐공능적영향.방법 장80례의행경흉입로흉추결핵수술환자수궤분위간예조화대조조각40례,대조조술전、술후채용상규호리,간예조재상규호리적기출상진행종합호리간예,우입원제1천,술후1d,술후7d분별대량조환자진행폐공능검측、동맥혈기분석,비교폐활량(VC)、최대통기량(MVV)、1초용력호기용량(FEV1)、1초량비용력폐활량(FEV/FVC)、동맥혈양분압(PaO2),동맥이양화탄분압(PaCO2)、동맥혈양포화도(SaO2).결과 량조환자입원제1천각항폐공능지표비교,차이무통계학의의(P＞0.05),술후1d、7d간예조VC(t분별위6.326,5.276)、MVV(t분별위5.958,4.742)、FEV1(t분별위5.656,4.356)、FEV1/FVC(t분별위5.066,4.866)、PaO2(t분별위8.937,6.837)、SaO2(t분별위5.213,4.113)균고우대조조,PaCO2저우대조조[(48.7±3.1)％비(40.7±2.5)％,(44.3±3.2)％비(38.2±2.4)％],차이균구유통계학의의(t분별위3.157,2.557;P＜0.05).결론 종합호리간예능유효개선경흉입로흉추결핵수술환자적폐공능,예방폐부병발증.
Objective To explore the effect of nursing intervention on the pulmonary function of patients having thoracic tuberculosis transthoracic approach surgery.Methods 80 cases of patients who were to have thoracic tuberculosis transthoracic approach surgery were randomly divided into the intervention group and the control group,each with 40 cases.The control group received conventional nursing before and after operation,while the intervention group received nursing intervention in addition.Their pulmonary function,arterial blood gas analysis,comparison of vital capacity (VC),maximal ventilatory volume (MVV),forced expiratory volume in one second (FEV1),a second volume than the forced vital capacity (FEV1/FVC),arterial partial pressure of oxygen (PaO2),arterial partial pressure of carbon dioxide (PaCO2) and arterial oxygen saturation (SaO2) were compared on the 1st day in hospital,1st and 7th day after operation.Results The indicators of pulmonary function on the 1st day in hospital had no significant differences between two groups (P ＞ 0.05).The VC (t =6.326,5.276,respectively),MVV (t =5.958,4.742,respectively),FEV1 (t =5.565,4.356,respectively),FEV1/FVC (t =5.066,4.866,respectively),PaO2 (t =5.213,4.113,respectively) and SaO2 (t =8.937,6.837,respectively) on the 1st and 7th day after operation were all higher in the intervention group than in the control group,while the PaCO2 was higher in the control group than in the intervention group [(48.7 ± 3.1) ％ vs (40.7 ± 2.5) ％,(44.3 ± 3.2) ％ vs (38.2 ± 2.4) ％],and the differences were statistically significant (t =3.157,2.557,respectively ; P ＜ 0.05).Conclusions Integrated nursing intervention can effectively improve the pulmonary function of patients having thoracic tuberculosis transthoracic approach surgery,and prevent pulmonary complications.
