中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2015年
11期
806-808
,共3页
肺炎%引流,体位%胃肿瘤
肺炎%引流,體位%胃腫瘤
폐염%인류,체위%위종류
Pneumonia%Drainage,postural%Stomach neoplasms
目的 探讨改良式体位引流对老年性胃癌术后肺部感染的临床治疗价值.方法 将107例老年性胃癌术后肺部感染患者按随机数字表法分为对照组53例与观察组54例,对照组接受胃癌术后常规治疗及护理措施,观察组在此基础上采用改良式体位引流.比较2组患者每日的痰液排出量、培养阳性例数、术后血液指标恢复正常天数、术后发热天数、术后10d肺部感染现存例数、住院天数等.结果 观察组患者的排痰量明显高于对照组[(185.7±23.7) ml比(99.7±17.6) ml],P＜0.05,观察组术后血液指标恢复天数[白细胞计数(2.9±0.9)d比(50±0.7)d,C-反应蛋白(35±0.7)d比(7.4±0.6)d]、术后发热天数[(1.9±0.5)d比(3.6±1.4)d]、术后肺不张例数(5例比19例)和住院天数[(15.9±1.0)d比(23.7±1.2)d]等指标均少于对照组,差异有统计学意义,P＜0.05.结论 改良式体位引流能有效地预防术后肺不张,控制肺部感染,能明显减少老年患者胃癌手术后肺不张的发生率,值得临床应用.
目的 探討改良式體位引流對老年性胃癌術後肺部感染的臨床治療價值.方法 將107例老年性胃癌術後肺部感染患者按隨機數字錶法分為對照組53例與觀察組54例,對照組接受胃癌術後常規治療及護理措施,觀察組在此基礎上採用改良式體位引流.比較2組患者每日的痰液排齣量、培養暘性例數、術後血液指標恢複正常天數、術後髮熱天數、術後10d肺部感染現存例數、住院天數等.結果 觀察組患者的排痰量明顯高于對照組[(185.7±23.7) ml比(99.7±17.6) ml],P＜0.05,觀察組術後血液指標恢複天數[白細胞計數(2.9±0.9)d比(50±0.7)d,C-反應蛋白(35±0.7)d比(7.4±0.6)d]、術後髮熱天數[(1.9±0.5)d比(3.6±1.4)d]、術後肺不張例數(5例比19例)和住院天數[(15.9±1.0)d比(23.7±1.2)d]等指標均少于對照組,差異有統計學意義,P＜0.05.結論 改良式體位引流能有效地預防術後肺不張,控製肺部感染,能明顯減少老年患者胃癌手術後肺不張的髮生率,值得臨床應用.
목적 탐토개량식체위인류대노년성위암술후폐부감염적림상치료개치.방법 장107례노년성위암술후폐부감염환자안수궤수자표법분위대조조53례여관찰조54례,대조조접수위암술후상규치료급호리조시,관찰조재차기출상채용개량식체위인류.비교2조환자매일적담액배출량、배양양성례수、술후혈액지표회복정상천수、술후발열천수、술후10d폐부감염현존례수、주원천수등.결과 관찰조환자적배담량명현고우대조조[(185.7±23.7) ml비(99.7±17.6) ml],P＜0.05,관찰조술후혈액지표회복천수[백세포계수(2.9±0.9)d비(50±0.7)d,C-반응단백(35±0.7)d비(7.4±0.6)d]、술후발열천수[(1.9±0.5)d비(3.6±1.4)d]、술후폐불장례수(5례비19례)화주원천수[(15.9±1.0)d비(23.7±1.2)d]등지표균소우대조조,차이유통계학의의,P＜0.05.결론 개량식체위인류능유효지예방술후폐불장,공제폐부감염,능명현감소노년환자위암수술후폐불장적발생솔,치득림상응용.
Objective To explore clinical effect of modified postural drainage for treating pulmonary infection of senile patients with gastric cancer.Methods 107 cases of patients with gastric cancer were randomly divided into two groups:control group (n =53) and treatment group (n =54),which were respectively treated by routine postoperative therapy and nursing measures and modified postural drainage based on these routine measures,and compared daily amount of expectoration sputum,positive cases of sputum culture,restore time of postoperative blood test,postoperative fever time,cases of pulmonary infection on the postoperative tenth day and length of stay.Results Daily amount of expectoration sputum of patients in treatment group was significantly higher than that of control group [(185.7 ± 23.7) ml vs.(99.7 ± 17.6) ml] (P ＜ 0.05).However,restore time of postoperative characters of blood test [white blood cell count (2.9±0.9) d vs (5.0±0.7)d,C-reaction protein (35±0.7)d vs.(7.4±0.6) d],postoperative fever time [(1.9±0.5) d vs.(3.6±1.4) d],cases of atelectasis (5 cases vs.19 cases) and length of stay [(1.9±0.5) d vs.(3.6±1.4) d] were respectively significantly less than those of control group (P ＜ 0.05).Conclusions Modified postural drainage could effectively prevent postoperative atelectasis and pulmonary infection,significantly reduced incidence of postoperative atelectasis of senile patients with gastric cancer operation,and so it was worthy of clinical application.
