圍術(shù)期氧氣霧化護(hù)理干預(yù)在老年患者全身麻醉腹部手術(shù)中的應(yīng)用

[摘要] 目的 探究在老年患者全身麻醉腹部手術(shù)的過程中，應(yīng)用圍術(shù)期氧氣霧化護(hù)理干預(yù)的效果。方法 方便選取46例老年全身麻醉腹部手術(shù)患者進(jìn)行圍術(shù)期氧氣霧化護(hù)理干預(yù)，并歸為觀察組，選取另外40例患者采用常規(guī)干預(yù)，并歸為對照組，兩組患者均為該院2013年2月—2016年5月間收治。 結(jié)果 針對性比較兩組患者的咳嗽咳痰發(fā)生率發(fā)現(xiàn)，觀察組患者30.43%明顯較低（對照組為47.50%）；針對性比較兩組患者的咳嗽咳痰輕重程度發(fā)現(xiàn)，觀察組患者相對較輕，觀察組輕度所占比例為50.00%，對照組僅為26.31%；針對性比較兩組患者的肺部感染發(fā)生率發(fā)現(xiàn)，觀察組發(fā)生率23.91%相對較低（對照組為40.00%），組間比較差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。 結(jié)論 圍術(shù)期氧氣霧化護(hù)理干預(yù)在老年患者全身麻醉腹部手術(shù)中的應(yīng)用發(fā)現(xiàn)，其能夠幫助患者臨床情況得到較好的改善，同時(shí)減少患者出現(xiàn)相應(yīng)的不良事件，促進(jìn)患者及時(shí)恢復(fù)，因此值得臨床借鑒。

[關(guān)鍵詞] 圍術(shù)期；氧氣霧化護(hù)理干預(yù)；老年患者；全身麻醉；腹部手術(shù)

[中圖分類號] R5 [文獻(xiàn)標(biāo)識碼] A [文章編號] 1674-0742（2016）12（c）-0121-03

[Abstract] Objective To explore the effect of perioperative oxygen atomization nursing intervention in elderly patients undergoing abdominal operation during general anesthesia. Methods Convenient selection 46 cases of elderly patients with general anesthesia for abdominal surgery during the perioperative nursing intervention of oxygen atomization， and classified as the observation group， the other 40 cases were treated by routine intervention， and classified as the control group， two groups of patients were in our hospital from May 2016 to February 2013. Results The comparison of two groups of patients the incidence of cough and expectoration， 30.43% patients in the observation group were significantly lower （control group 47.50%）； the comparison of two groups of patients with cough severity， patients in the observation group were relatively mild， mild observation group accounted for 50.00%， only 26.31% of the control group； according to the comparison of two groups of patients with lung infection rate， the observation group was 23.91% lower （control group 40.00%）， the difference was statistically significant（P<0.05）. Conclusion Perioperative nursing intervention inhalation general anesthesia in elderly patients with abdominal surgery in that it can help the patients get better， and reduce the adverse events of some patients， promote patients recover in time， so it is worthy of clinical reference.

[Key words] Perioperative period； Oxygen atomization nursing intervention； Elderly patients； General anesthesia； Abdominal surgery

老年患者在進(jìn)行腹部手術(shù)的過程中，全身麻醉較為多用，其對于患者的阻滯效果相對較好，但是全身插管麻醉很容易使得患者的呼吸道失去相應(yīng)的防御能力，這對于患者恢復(fù)而言及其不利。因此在圍術(shù)期必須對患者進(jìn)行行之有效的護(hù)理，對患者進(jìn)行有效的干預(yù)，從而幫助患者改善其臨床情況。該研究2013年2月—2016年5月間方便選取該院46例老年全身麻醉腹部手術(shù)患者進(jìn)行圍術(shù)期氧氣霧化護(hù)理干預(yù)，目的在于幫助其減少不良事件發(fā)生，從而及時(shí)恢復(fù)，現(xiàn)報(bào)道如下。……