首页|围手术期应用氨溴索联合心理干预对胸腔镜下肺叶切除术后肺癌患者的疗效分析

围手术期应用氨溴索联合心理干预对胸腔镜下肺叶切除术后肺癌患者的疗效分析

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目的 研究分析围手术期应用氨溴索联合心理干预对胸腔镜下肺叶切除术后肺癌患者的疗效.方法 选取2015年1月~2016年12月北京市健宫医院进行胸腔镜下肺叶切除术的肺癌患者64例,随机分成实验组和对照组,每组各32例.对照组实施常规干预措施.实验组在对照组的基础上,于手术当天至术后3 d给予静脉600 mL/d盐酸氨溴索注射液联合心理干预进行治疗,统计分析2组患者并发症发生的情况以及术后患者机械通气、ICU时间、术后住院时间、治疗费用等指标.结果 2组患者在围手术期内均未出现死亡病例,实验组患者的肺部并发症发生率明显少于对照组,差异具有统计学意义(P<0.05).术后患者的机械通气、ICU时间、术后住院时间、治疗费用等比较,观察组均少于对照组,差异具有统计学意义(P<0.05).结论 对于在围手术期实施胸腔镜下肺叶切除术的肺癌患者采用氨溴索联合心理干预进行治疗,有效改善了患者的肺功能,并发症的发生率明显降低,缩短了患者的住院时间,减轻了经济负担,建议临床上推广应用.
Effect of periopusside administration of ambroxol combined with psychological intervention on patients with lung cancer after thoracoscopic lobectomy
Objective To study the effect of the combined psychological intervention of ambroxol on the patients with lung cancer after thoracoscopic lobectomy. Methods January 2015 to December 2016, Beijing Jian Gong Hospital under thoracoscope lung resection of 64 cases of patients with lung cancer, the control group treated with saline 600 mL/d, experimental group implementation of ammonia bromine line on postoperative 3 days for the patient on the day of surgery until given intravenous 600 mL/d hydrochloric acid ammonia bromine injection combined psychological intervention treatment. Results There were no deaths in the perioperative period, but the lung complications in the experimental group were significantly lower than those in the control group. There were significant differences in mechanical ventilation, ICU time, postoperative hospital stay, and treatment cost after surgery (P < 0.05). Conclusion For patients with lung cancer in perioperative implementation under the thoracoscope lung resection and intravenous hydrochloric acid ammonia bromine joint line comments fluid psychological intervention treatment, effectively improve the patients' lung function and significantly lower the incidence of complications, shorten the patient's hospital stay, reduce the economic burden, and can be applied clinically.

perioperative periodammonia bromine linepsychological interventionthoracoscopic lobectomylung cancer

谭蕾、王学鹏、何子林、赵松

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北京市健宫医院 心胸血管外科,北京 100054

围手术期 氨溴索 心理干预 胸腔镜 肺叶切除术 肺癌

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(9)
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