两种不同背部叩击排痰法对胸腔镜下食道癌根治术后患者肺部并发症影响

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1、CMYK40现代临床护理（ModernClinicalNursing）2015．14（10）两种不同背部叩击排痰法对胸腔镜下食道癌根治术后患者肺部并发症的影响王晓莉，顾艳荭，于海荣，张燕楠，孙雪梅（南通大学附属医院胸外科，江苏南通，226001）［摘要］目的探讨高频率双手背部叩击排痰法和传统的低频率单手背部叩击排痰法对胸腔镜下食道癌根治术后患者肺部并发症影响。方法将2013年5月～2014年1月在本科住院行胸腔镜下食道癌根治术的60例食道癌患者设为对照组，实施低频率单手背部叩击排痰法；将2014年2～7月在本科住院行胸腔镜下食道癌根治术的60例食道癌患者设为观察

2、组，实施高频率双手背部叩击排痰法，了解两组患者肺部并发症发生情况。结果叩击排痰后，观察组患者肺不张发生率低于对照组，两组比较，差异均有统计学意义（P＜0．05）。两组患者肺部感染发生率比较，差异无统计学意义（P＞0．05）。结论胸腔镜下食道癌根治术后患者采用高频率双手背部叩击排痰法，在降低肺不张发生率方面优于采用传统的低频率单手背部叩击排痰法。［关键词］食道癌根治术；叩背排痰法；肺不张；肺部感染［中图分类号］R473．6［文献标识码］A［文章编号］1671－8283（2015）10－0040－03［DOI］10．3969／j．issn．1671－8283．201

3、5．10．011Effectsoftwoexpectorationmethodsonpulmonarycomplicationsandhypoxemiainesophagealcancerpatientshavingundergoneradicalresectionwithvideo－assistedthoracoscopicsurgeryWangXiaoli，GuYanhong，YuHairong，ZhangYannan，SunXuemei／／ModernClinicalNursing，－2015，14（10）：40．［Abstract］ObjectiveTo

4、comparetheeffectsofexpectorationbyhighfrequencybacktappingwithbothhandsandtraditionalexpectorationbytappingbackwithasinglehandonpulmonarycomplicationsinesophagealcancerpatientshavingundergoneradicalresectionwithvideo－assistedthoracoscopicsurgery（VATS）．MethodsSixtypatientsafterradical

5、resectionforesophagealcancerwithVATSfromMay2013toJanuary2014weresetasthecontrolgroup，inwhichexpectorationbytappingthebackwithasinglehand．Another60patientsafterradicalresectionforesophagealcancerwithVATSfromFebruary2014toJuly2014weresetastheobservationgroup，inwhichtheexpectorationbyhi

6、ghfrequencytappingthebackwithbothhands．Thetwogroupswerecomparedintermsofpulmonarycomplications．ResultTheincidenceofatelectasisandpulmonaryinfectionintheobservationgroupwerelowerthanthosewithasinglehandinthecontrolgroup（allP＜0．05）．ConclusionForthepatientshavingundergoneradicalresectio

7、nofesophagealcarcinomawithVATS，theexpectorationwithhighfrequencybacktappingwithbothhandsismoreeffectiveinloweringatelectasisratethanthatwithasinglehand．［Keywords］radicalsurgeryonesophagealcancer；expectorationbytappingback；hyoxemiaatelectasis；pulmonaryinfection胸腔镜下食道癌根治术由于术中术侧肺长时后肺部并发

8、症的有力措施，叩背排痰是