摘要
目的 探讨非气管插管麻醉联合精细化护理用于急诊胸腔镜肺叶切除手术的可行性及对患者的康复价值.方法 以80例接受急诊胸腔镜肺叶切除术的患者为对象,用随机数字表法分为研究组与对照组,研究组患者手术期间应用非气管插管麻醉与精细化护理,对照组采取常规护理.结果 研究组与对照组护理后的疾病认知评分均有所提升,其中研究组患者疾病认知度提升更明显,差异有统计学意义(P＜0.05).研究组患者术后的第一秒用力呼气容量(First Second Forced Expiratory Volume,FEV1)、用力肺活量(Forced Vital Capacity,FVC)和一秒率(FEV1/FVC)水平均高于对照组,差异有统计学意义(P＜0.05).研究组术后苏醒时间更短,胸腔粘连率更低,差异有统计学意义(P＜0.05).研究组、对照组并发症占比7.50％、20.00％,差异有统计学意义(P＜0.05).结论 非气管插管麻醉与精细化护理用于胸腔镜肺叶切除手术中,有助于改善患者术后肺功能,降低患者术中胸腔粘连率,缩短术后苏醒时间,且术后并发症较少,可被广泛用于急诊胸腔镜肺叶切除治疗中.
Abstract
Objective To explore the feasibility and rehabilitation value of the combination of non-tracheal intubation anesthesia and refined nursing for emergency thoracoscopic lobectomy.Methods 80 patients who underwent emergency thoracoscopic lobectomy were selected as the subjects and divided into the study group and the control group with random table method.The study group patients were treated with non-tracheal intubation anesthesia and refined nursing during the surgery,The control group received routine care.Results All patients had higher disease cognition scores after nursing intervention than that before nursing intervention,but disease awareness was higher in the study group than that of the control group,and the difference between the two groups was statistically significant(P＜0.05).The levels of FEV1,FEV1/FVC,and FVC in the study group were significantly higher than those in the control group(P＜0.05).The postoperative recovery time and the rate of thoracic adhesion were lower in the study group that those of the control group,the difference was statistically significant(P＜0.05).Complications in the study group and the control group accounted for 7.50％and 20.00％,and the difference was statistically significant(P＜0.05).Conclusion Non-tracheal intubation anesthesia and refined care used in thoracoscopic lobectomy can help to improve postoperative lung function,reduce intraoperative thoracic adhesions,shorten postoperative recovery time,and have fewer postoperative complications.It can be widely used in emergency thoracoscopic lobectomy treatment.
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