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目的:观察并探讨围手术期护理对肺癌患者术后呼吸功能的恢复及肺部并发症控制上的价值。方法:选取自2015年2月—2017年2月期间在我院接受手术治疗的48例肺癌患者,作为干预组,实施围手术期护理干预;选取此前1年仅接受常规护理的48例肺癌患者作为对照组。干预前和干预后1个月对两组患者的肺功能指标进行测量,包括用力肺活量(FVC)、第一秒用力呼气量(FEV1)和最大通气量(MVV),并统计两组患者并发症发生情况。结果:两组干预前两组FVC、FEV1、MVV相比,差异不具有统计学意义(P<0.05);干预后1个月,干预组FVC、FEV1和MVV分别为(85.5±16.2)%、(92.3±18.3)%和(78.5±12.4)%,对照组为(74.0±14.4)%、(82.4±11.6)%和(70.2±11.3)%,两组相比,差异具有统计学意义(P<0.05);干预组并发症发生率为8.3%(4/48),对照组为33.3%(16/48),两组相比,差异具有统计学意义(P<0.05)。结论:围手术期护理干预能有效改善肺癌患者肺功能,降低肺相关并发症的发生率。
Objective: To observe and discuss the value of perioperative nursing on postoperative respiratory function recovery and pulmonary complications control in patients with lung cancer. Methods: Forty-eight patients with lung cancer undergoing surgery in our hospital from February 2015 to February 2017 were enrolled as intervention group. Perioperative nursing intervention was performed. Forty-eight cases of lung cancer Patients served as control group. Before and 1 month after intervention, the lung function indexes of two groups were measured, including forced vital capacity (FVC), forced expiratory volume one second (FEV1) and maximum ventilation (MVV) Occurrence of disease. Results: The difference of FVC, FEV1 and MVV between the two groups before intervention was not statistically significant (P <0.05). At 1 month after intervention, FVC, FEV1 and MVV in intervention group were (85.5 ± 16.2)%, (92.3 ± 18.3)% and (78.5 ± 12.4)% in the control group and (74.0 ± 14.4)% and (82.2 ± 11.3)% in the control group, respectively <0.05). The complication rate was 8.3% (4/48) in the intervention group and 33.3% (16/48) in the control group. There was significant difference between the two groups (P <0.05). Conclusion: Perioperative nursing intervention can effectively improve pulmonary function in patients with lung cancer and reduce the incidence of pulmonary-related complications.