Objective:To observe the application effect of lung protective ventilation strategy nursing in prone position in radical lung cancer surgery.Methods:Conducting prospective study on 100 lung cancer patients admitted to the First Affiliated Hospital of Zhengzhou University from May 2020 to January 2023.The patients were divided into conventional group and experimental group with computer random number table method,with 50 cases in each group.All patients underwent radical surgery for lung cancer.The conventional group used conventional posture lung protective ventilation strategy as an auxiliary surgery,while the experimental group used prone posture lung protective ventilation strategy as an auxiliary surgery.The treatment status,ventilator related parameters,improvement of oxygenation function,and lung function damage after treatment between the two groups of patients were compared.Results:The oxygen inhalation time,single lung ventilation time,PACU residence time and final hospital stay of experimental groups were lower than those of conventional group,with statistically significant difference(t=3.076,1.211,3.978,4.138;P＜0.05).Under different ventilation strategies,the intraoperative positive expiratory pressure and plateau pressure of experimental group were higher than those of conventional group,and the driving pressure was lower than that of conventional group,with statistically significant difference(t=2.993,2.883,3.006;P＜0.05).Under different ventilation strategies,SaO2 and P/F in experimental groups at T1 and T2 were higher than those in conventional group,and the differences were statistically significant(t=3.087,3.377,4.167,2.876;P＜0.05).Under different ventilation strategies,the postoperative CL of experimental group was higher than that of conventional group,and the incidence of pulmonary inflammation and pulmonary ventilation dysfunction were lower than that of conventional group,with statistically significant difference(t=2.379;x2=5.980,6.945;P＜0.05).Conclusion:Lung protective ventilation nursing in prone position can accelerate the postoperative recovery process of lung cancer patients;improve ventilator related parameters and oxygenation function;and avoid lung function damage.
关键词
肺癌根治术/肺保护性通气策略/体位护理/肺功能损伤/预后情况
Key words
Radical resection of lung cancer/Lung protective ventilation strategy/Positional care/Lung function injury/Prognostic situation
维普
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