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时间:2020-05-14
《负压吸引对开胸手术患者预后的影响.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、解放军护理杂志NrsJChinPLA·19··论著·负压吸引对开胸手术患者预后的影响周敏洪,金熙熙,陈培培(温州医科大学附属第二医院胸外科,浙江温州325000)f摘要】目的探讨负压吸引对开胸手术患者预后的影响。方法便利抽样法选择2011年1月至2012年1月在温州医科大学附属第二医院行肺叶切除手术的9O例患者为研究对象,按手术日期分为A、B、C三组,每组3O例。A组术后患者予双腔水封瓶闭式引流,不给予负压吸引;B组术后患者在常规应用双腔水封瓶闭式引流的基础上加用低负压吸引(压力为一5cmH20,1cmH20一O.098kPa);C组术后患者在常规应用双腔水封瓶闭式引流的基础上加用
2、常规负压吸引(压力为一10emil20)。观察比较三组患者术后48h的胸腔引流液量、不良反应发生情况、1周后的肺复张率、拔管时间及平均住院时间。结果三组患者术后48h的胸腔引流量在不同引流方式下不同时间的变化趋势不同,其中C组不同时间的引流量较多。三组患者术后不良反应的差异有统计学意义(P3、并发症doi:10.3969/j.issn.1008—9993.2015.02.007【中图分类号】R473.6【文献标志码】A【文章编号】1008—9993(2O15)02—0019-04TheInfluenceofNegativePressureDringeonPrognosisaftertheThoracotomyZhouMinhong,JinXixi,ChenPeipei(DepartmentofThoracicSurgery,TheSecondAffiliatedHospitalofWenzhouMedicalCollege,Wenzhou325000,ZhejiangP4、rovince,China)CoHespondingauthor:JinXixi,E—mail:jxxl970@163.com【Abstract】ObjectiveTodiscusstheinfluenceofnegativepressuredringeonprognosisafterthethoracicsurgery.MethodsByconveniencesampling,90patientswhohaveundergonethelobectomysurgerywereselectedandran—domlydividedintogroupA,B,Cwith30casesin5、eachgroup.GroupAweregiventhedoublecavitywatersealingcloseddrainagewithnonegativepressure.GroupBreceivedthelownegativepressuredringe(pressureis一5cmH2O,1cmH2O一0.098kPa)onthebasisofconventionalapplicationofthedoublecavitywatersealingcloseddrainage.GroupCalsoreceivedthelownegativepressuredringe(pr6、essureis一10cmH2O)onthebasisofconventionalapplicationofthedoublecavitywatersealingcloseddrainage.Patients’chestdrainagefluidvolumewithin48h,incidencerateofadversereaction,rateoflungrecruitmentmaneuversafteraweek。extubationtimeandaveragehospitalizationtimehavebeenobservedandcompared.ResultsThere7、weredifferencesbetweenthreegroupsofpatientsinwhichthedrainagefluidvolumeofpatientsweredifferentunderdifferentdrainagemethodandtime,andthegroupChadthehighestvolumeofdrainagefluid.Therewasstatisticalsignificanceofthedifferenceofpostoperat
3、并发症doi:10.3969/j.issn.1008—9993.2015.02.007【中图分类号】R473.6【文献标志码】A【文章编号】1008—9993(2O15)02—0019-04TheInfluenceofNegativePressureDringeonPrognosisaftertheThoracotomyZhouMinhong,JinXixi,ChenPeipei(DepartmentofThoracicSurgery,TheSecondAffiliatedHospitalofWenzhouMedicalCollege,Wenzhou325000,ZhejiangP
4、rovince,China)CoHespondingauthor:JinXixi,E—mail:jxxl970@163.com【Abstract】ObjectiveTodiscusstheinfluenceofnegativepressuredringeonprognosisafterthethoracicsurgery.MethodsByconveniencesampling,90patientswhohaveundergonethelobectomysurgerywereselectedandran—domlydividedintogroupA,B,Cwith30casesin
5、eachgroup.GroupAweregiventhedoublecavitywatersealingcloseddrainagewithnonegativepressure.GroupBreceivedthelownegativepressuredringe(pressureis一5cmH2O,1cmH2O一0.098kPa)onthebasisofconventionalapplicationofthedoublecavitywatersealingcloseddrainage.GroupCalsoreceivedthelownegativepressuredringe(pr
6、essureis一10cmH2O)onthebasisofconventionalapplicationofthedoublecavitywatersealingcloseddrainage.Patients’chestdrainagefluidvolumewithin48h,incidencerateofadversereaction,rateoflungrecruitmentmaneuversafteraweek。extubationtimeandaveragehospitalizationtimehavebeenobservedandcompared.ResultsThere
7、weredifferencesbetweenthreegroupsofpatientsinwhichthedrainagefluidvolumeofpatientsweredifferentunderdifferentdrainagemethodandtime,andthegroupChadthehighestvolumeofdrainagefluid.Therewasstatisticalsignificanceofthedifferenceofpostoperat
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