CAJ | 학술논문

目的：探讨不同时段雾化吸入对老年胃肠手术后患者排痰的影响。方法便利抽样法选取2012年8月至2014年8月入住上海市浦东医院胃肠外科行胃肠道择期手术的患者150例,按入院先后将其分为 A、B、C 3组各50例,A 组：常规护理为基础,术前3 d 雾化吸入,手术当天停止,术后继续4 d；B 组：常规护理为基础,术后第1天雾化吸入,持续7 d；C 组：常规护理为基础,出现咳嗽、咳痰症状后给予雾化吸入(不出现者则不给予雾化吸入),持续7 d。对 A、B、C 3组患者分别于术后第3、5、7天进行咳嗽、咳痰及肺部啰音的评价。结果术后第3、5、7天,A 组患者的咳嗽、咳痰和肺部啰音评分均低于 B 组和 C组,差异均有统计学意义(均 P ＜0．05)；B 组患者的咳嗽、咳痰和肺部啰音评分均低于 C 组,但差异均无统计学意义(均 P ＞0．05)。结论预防性地进行雾化吸入可以减少和预防老年胃肠手术后患者肺部感染的发生。
목적：탐토불동시단무화흡입대노년위장수술후환자배담적영향。방법편리추양법선취2012년8월지2014년8월입주상해시포동의원위장외과행위장도택기수술적환자150례,안입원선후장기분위 A、B、C 3조각50례,A 조：상규호리위기출,술전3 d 무화흡입,수술당천정지,술후계속4 d；B 조：상규호리위기출,술후제1천무화흡입,지속7 d；C 조：상규호리위기출,출현해수、해담증상후급여무화흡입(불출현자칙불급여무화흡입),지속7 d。대 A、B、C 3조환자분별우술후제3、5、7천진행해수、해담급폐부라음적평개。결과술후제3、5、7천,A 조환자적해수、해담화폐부라음평분균저우 B 조화 C조,차이균유통계학의의(균 P ＜0．05)；B 조환자적해수、해담화폐부라음평분균저우 C 조,단차이균무통계학의의(균 P ＞0．05)。결론예방성지진행무화흡입가이감소화예방노년위장수술후환자폐부감염적발생。
Objective To explore the expectoration effect on atomization inhalation in the different periods of elderly patients after gastrointestinal surgery.Methods By convenience sampling,150 cases of patients were randomly selected and equally divided into three groups:A,B and C.Patients of Group A were treated with atomization inhalation 3 days before and 4 days after the operation (stopped on the day of operation);patients of Group B were treated with atomization for 7 days after operation;patients of Group C were treated with atomization inhalation for 7 days only if the symptoms of cough present.Routine nursing care was given to all patients of all groups.The symptoms of cough and expectoration as well as clinical signs (pulmonary rales)were observed and recorded on day 3,5 and 7 after the operation.Results Third,fifth and seventh days after the operation,the cough and expectoration symptoms and pulmonary rales of pa-tients in Group A were remarkably less than group B and C (all P <0.05).The above symptom’s scores of patients in group B were lower than group C,but with no statistical significance (all P >0.05).Conclusion Preventatively applied with atomization inhalation can reduce and prevent the pulmonary infection of elderly patients after gastrointestinal surgery.