探讨dsa结合纤维支气管镜放置金属支架治疗恶性大气道狭窄的护理措施

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1、探讨DSA结合纤维支气管镜放置金属支架治疗恶性大气道狭窄的护理措施熊文珍(广州市红十字会医院屮心ICU科510375)【摘要】目的观察在数字减影血管造影(DSA)结合纤维支气管镜下放置金属支架用以治疗恶性大气道狭窄的疗效及护理措施效果。方法选取2008年2月至2011年2月期间本科室收治的恶性人气道狭窄患者32例，将其随机分成2组,一般护理组(n=14＞以及加强护理组(n=18)。一般护理组进行一般护理措施，加强护理组在一般护理的基础上进行加强护理，以强化心理护理为主，辅以心理恢复和功能恢复。观察患者病情恢复情况及评定幸福感量表(MUN-SH)。结果

2、患者术后呼吸改善率比较差异不明显(P>0.05),PaO2和PaCO2的检测结果与治疗前差异很大(P<0.05)，但两组间比较没有明显差别(P<0.05)，住院时间相互比较也无明显差异(P>0.05);但MUN-SH评分显示主观幸福感比较加强护理组明显优于一般护理组(P<0.05)。结论加强护理对于术后患者通气状况影响不大，但能有效提高患者主观幸福感，有助于患者稳定病情和提高生活质量。【关键词】恶性大气道狭窄数字减影血管造影纤维支气管镜金属支架临床护理【屮图分类号】R472【文献标识码】B【文章编号】2095-1752(

3、2012)15-0273-02DiscussingthenursingmeasureofusingDSAcombinedwithfiberopticbronchoscopewhichplacedmetallicsupporttotreatmalignantatmosphericnarrowXiongWenzhenGuangzhouRedCrossHospitalcenter,ICUdepartment510220.【Abstract】objectives:Toobservethecurativeeffectandnursingeffectofnurs

4、ingmeasureofusingDSAcombinedwithfiberopticbronchoscopewhichplacedmetallicsupporttotreatmalignantatmosphericnarrow.Methods:Chose32ofthesepatientswhohavebeentreatedatourdepartmentformalignantatmosphericnarrowfromFebruary2008toFebruary2011,anddividedthemintogeneralcaregroup(n=14)a

5、ndintensivecaregroup(n=18)randomly.Givengeneralnursingmeasurestothepatientswhointhegeneralcaregroup,whilegivenintensivenursingtothesewhointheintensivecaregrouponthebasisofthegeneralnursing,primarilystrengthenpsychologicalnursingandwiththementalrecoveryandrestorefunction.Observe

6、dpatients'recoveryconditionsandassessedhappinessscale(MUN-SH).Results:Therearenoobviousdifferencesinpatients1breathingimprovementrateaftertheoperation(p>0.05),butthePaO2andPaCO2examresultsareobviouslydifferentfrombeforetreatment(P<0.05),whilethereisnoevidentdifferencesbet

7、weentwogroups(P<0.05)，comparedwiththeirhospitalstays,thereisalsonoevidentdifferences(P>0.05);ButaccordingtotheMUN-SHgrade,,theintensivecaregroup'ssubjectivewell-beingisevidentlybetterthanthegeneralcaregroup(p<0.05).Conclusions:Intensivenursinghaslittleeffectonthepatien

8、ts'ventilationconditionsafteroperation,butitcanimprove