首页|基于快速康复理念的气道管理在肺癌患者胸腔镜根治术中的效果及对康复效果和并发症的影响研究

基于快速康复理念的气道管理在肺癌患者胸腔镜根治术中的效果及对康复效果和并发症的影响研究

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目的 探讨基于快速康复理念的气道管理在肺癌患者胸腔镜根治术中的效果及对康复效果和并发症的影响。方法 选择2021年11月—2023年4月本院收治的肺癌患者60例为研究对象(所有患者均行胸腔镜根治术治疗),采用随机数字表法分为对照组和观察组,每组30例。对照组采用常规护理,观察组联合基于快速康复理念的气道管理,两组均进行2周护理,比较两组康复效果、日常生活能力、呼吸功能、血气水平及术后并发症发生率。结果 两组干预2周后BADL得分升高,观察组高于对照组(P<0。05);观察组肛门排气、保留胸管、保留尿管及住院时间短于对照组(P<0。05);两组干预2周后FVC、FEV1及PaO2降低,PaCO2水平升高;观察组FVC、FEV1及PaO2水平高于对照组(P<0。05),PaCO2水平低于对照组(P<0。05);观察组术后肺部感染、肺漏气、肺不张、呼吸抑制、胸腔积液发生率低于对照组(P<0。05)。结论 基于快速康复理念的气道管理用于肺癌患者胸腔镜根治术中,能促进患者康复,提高日常生活能力,有助于改善患者呼吸功能和血气水平,可降低术后并发症发生率,值得推广应用。
Effect Study of Airway Management Based on Rapid Rehabilitation Concept in Thoracoscopic Radical Surgery of Lung Cancer Patients and Its Effect on Rehabilitation and Complications
Objective To explore effect of airway management based on rapid rehabilitation concept in thoracoscopic radical surgery of lung cancer patients and its effect on rehabilitation and complications.Methods The paper chose 60 lung cancer patients with thoracoscopic radical surgery admitted to our hospital from November 2021 to April 2023 as study subjects,and divided them into two groups randomly,with 30 cases in each group.Control group was treated with routine nursing,while observation group with airway management based on rapid rehabilitation concept.After 2-week nursing,rehabilitation effect,daily living ability,respiratory function,blood gas levels,and postoperative complications were compared between two groups.Results After 2 weeks of intervention,BADL scores in observation group were higher than control group(P<0.05).Anal exhaust,retention of chest tube,retention of urinary tube,and length of stay in control group was shorter than control group(P<0.05).After 2 weeks of intervention,FVC,FEV1,and PaO2 decreased in both groups,level of PaCO2 increased,levels of FVC,FEV1,and PaO2 in observation group were higher than control group(P<0.05).PaCO2 level was lower than control group(P<0.05).Incidence of postoperative pulmonary infection,pulmonary leakage,atelectasis,respiratory depression,and pleural effusion in observation group was lower than control group(P<0.05).Conclusion Airway management based on rapid rehabilitation concept can promote recovery,improve daily living ability,respiratory function and blood gas levels,and reduce incidence of postoperative complications in thoracoscopic radical surgery of lung cancer patients,which is worthy of promotion and application.

Rapid rehabilitation conceptAirway managementLung cancerThoracoscopic radical surgeryRehabilitation effectComplications

李汶珊、陈小梅、王晓琼、刘品乾、刘慧敏

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广东农垦中心医院 胸外科,广东 湛江 524002

广东农垦中心医院 护理部,广东 湛江 524002

快速康复理念 气道管理 肺癌 胸腔镜根治术 康复效果 并发症

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(1)
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