CAJ | 학술논문

目的：比较开胸术后不同呼吸干预管理模式对降低患者肺部感染的效果。方法采用便利抽样的方法,选择2013年2—3月手术患者44例设为对照组,2013年4—5月手术患者44例为试验组。对照组给予常规呼吸干预管理模式,试验组给予精细化呼吸干预管理模式,比较两组干预效果。结果术后第4天,试验组患者18：00体温为(36.27±0.30)℃,对照组为(36.78±0.36)℃,差异有统计学意义(t=7.35,P<0.05)；试验组白细胞计数为(6.07±1.43)×109/L,对照组为(7.61±1.94)×109/L,差异有统计学意义(t=4.27,P<0.05)。试验组患者胸片均未出现异常,对照组患者4例出现肺部斑片状浸润影,发生率占9.09%。结论实施精细化呼吸干预管理,可使患者术后体温、白细胞、中性粒细胞比例较快地恢复至正常范围,不出现肺部湿性啰音,有效预防开胸术后肺部感染的发生。
목적：비교개흉술후불동호흡간예관리모식대강저환자폐부감염적효과。방법채용편리추양적방법,선택2013년2—3월수술환자44례설위대조조,2013년4—5월수술환자44례위시험조。대조조급여상규호흡간예관리모식,시험조급여정세화호흡간예관리모식,비교량조간예효과。결과술후제4천,시험조환자18：00체온위(36.27±0.30)℃,대조조위(36.78±0.36)℃,차이유통계학의의(t=7.35,P<0.05)；시험조백세포계수위(6.07±1.43)×109/L,대조조위(7.61±1.94)×109/L,차이유통계학의의(t=4.27,P<0.05)。시험조환자흉편균미출현이상,대조조환자4례출현폐부반편상침윤영,발생솔점9.09%。결론실시정세화호흡간예관리,가사환자술후체온、백세포、중성립세포비례교쾌지회복지정상범위,불출현폐부습성라음,유효예방개흉술후폐부감염적발생。
Objective Compare the effect of reducing patients′ pulmonary infection by different post-thoracotomy breathing intervention management modes. Methods A total of 88 sampled patients, who had done thoracotomy, were divided chronologically 44 each into control group (February to March 2013) and test group ( April to May 2013 ) . Regular respiratory intervention management were conducted on the control groups and refined respiratory intervention management were given to the test groups, compare the effect of two groups. Results The temperatures (36. 27 ± 0. 30)℃ of the patients from the test group at 6 pm in the 4th day after surgery were lower than ( 36. 78 ± 0. 36 )℃ of the control group; difference between the two groups were statistically significant (t=7. 35,P<0. 05). The white blood cell analysis (6. 07 ± 1. 43) × 109/L in the 4th after surgery of experimental group tend to be more normal than the white blood cell analysis (7. 61 ± 1. 94) × 109/L of the control group with statistical significance (t=4. 27,P<0. 05). There were all normal for chest X ray in the test group, but 4 cases with lung patchy infiltrate shadows in the control group with incidence rate 9. 09%. Conclusions Refined breathing intervention management can make the body temperature, white blood cell, neutrophils ratio of post-operative patients recover to normal range quick without lung auscultation wet rales, and prevent post-thoracotomy pulmonary infection.