CAJ | 학술논문

目的:探讨老年患者开胸手术围手术期呼吸道的护理措施.方法:将260例老年开胸患者随机分入实验组和对照组,比较两组的术后咳嗽能力、呼吸道并发症及术后SPO2/FiO2值.结果:实验组术后前3天的有效咳痰例数明显高于对照组(P<0.05),实验组呼吸道并发症发生率低于对照组(P<0.05),两组术后PaO2/FiO2值均有所下降,但对照组下降更明显(P<0.05).结论:正确的护理措施可以减少老年患者开胸手术围手术期呼吸道并发症的发生,促进术后有效咳痰,提高患者术后生活质量.
목적:탐토노년환자개흉수술위수술기호흡도적호리조시.방법:장260례노년개흉환자수궤분입실험조화대조조,비교량조적술후해수능력、호흡도병발증급술후SPO2/FiO2치.결과:실험조술후전3천적유효해담례수명현고우대조조(P<0.05),실험조호흡도병발증발생솔저우대조조(P<0.05),량조술후PaO2/FiO2치균유소하강,단대조조하강경명현(P<0.05).결론:정학적호리조시가이감소노년환자개흉수술위수술기호흡도병발증적발생,촉진술후유효해담,제고환자술후생활질량.
Objective:To investigate the intervention of respiratory care for peroperative period of thoracic surgery in gerontal patients. Methods:260 cases of gerontal patients who would receive the thoracic surgery were randomly divided into experimental group and control group, then com-pared the ability to cough, respiratory complications and PaO2/FiO2 after the surgery. Results: For the quantity of ability to cough in the first three days after surgery, experimental group is significant-ly more than control group (P<0.05), while the rate of respiratory complications is lower than con-trol group (P<0.05);the numerical value of PaO2/FiO2 is both decreased in two groups, but more sig-nificantly in control group (P<0.05). Conclusion:The correct intervention for gerontal patients of thoracic surgery can reduce the incidence of respiratory complications in peroperative period, im-prove the ability to cough after surgery, enhance the quality of patients’life.