呼吸训练在大容量肺灌洗患者术后的应用效果
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摘要
目的探讨呼吸训练在大容量肺灌洗患者术后的应用效果。方法选取2015年1月～2018年1月我院成功治疗的44例行大容量肺灌洗术患者作为研究对象,根据护理方法的不同分为观察组与对照组,每组各22例,给氧时间均为4 h,对照组患者采用常规护理,自然呼吸,观察组患者采用以缩唇呼吸为主的呼吸训练。比较两组患者的护理舒适度、直接医疗费用、门诊费用、住院费用及医疗总费用。结果观察组患者的舒适度高于对照组,直接医疗费用、门诊费用、住院费用及医疗总费用显著低于对照组,差异均有统计学意义(P<0.05)。结论大容量肺灌洗患者术后采用呼吸训练进行功能锻炼,效果显著,值得推广应用。
Objective To explore the application effect of respiratory training in patients after massive lung lavage.Methods A total of 44 patients with massive lung lavage successfully treated in our hospital from January 2015 to January 2018 were selected as the research objects, according to the different nursing methods, they were divided into observation group and control group, with 22 cases in each group, oxygen supply time was 4 h, patients in the control group were given routine nursing and natural breathing, while patients in the observation group were given breathing training mainly with lip contraction breathing. The nursing comfort, direct medical expenses, outpatient expenses, hospitalization expenses and total medical expenses were compared between the two groups. Results The comfort degree of patients in the observation group was higher than that in the control group, the direct medical expenses, outpatient expenses, hospitalization expenses and total medical expenses in the observation group were significantly lower than those in the control group, the differences were statistically significant(P<0.05). Conclusion Respiratory training for functional exercises after large volume lung lavage is effective and worthy of popularization and application.
Objective To explore the application effect of respiratory training in patients after massive lung lavage.Methods A total of 44 patients with massive lung lavage successfully treated in our hospital from January 2015 to January 2018 were selected as the research objects, according to the different nursing methods, they were divided into observation group and control group, with 22 cases in each group, oxygen supply time was 4 h, patients in the control group were given routine nursing and natural breathing, while patients in the observation group were given breathing training mainly with lip contraction breathing. The nursing comfort, direct medical expenses, outpatient expenses, hospitalization expenses and total medical expenses were compared between the two groups. Results The comfort degree of patients in the observation group was higher than that in the control group, the direct medical expenses, outpatient expenses, hospitalization expenses and total medical expenses in the observation group were significantly lower than those in the control group, the differences were statistically significant(P<0.05). Conclusion Respiratory training for functional exercises after large volume lung lavage is effective and worthy of popularization and application.
引文
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[9]蔡步东,朱烽,刘春云,等.大容量全肺灌洗术对肺尘埃沉着病患者生命质量和经济负担的影响[J].医学理论与实践,2016,29(15):1987-1989.
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[11]高天敏,李程旭,张鹏.大容量全肺灌洗术治疗肺尘埃沉着病的疗效分析[J].检验医学与临床,2016,13(16):2324-2326.
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[13]夏梦,孙杨,赵维珊,等.雾化吸入氨茶碱在大容量单肺灌洗术中的应用效果观察[J].中国急救医学,2016,36(z1):100-101.
[14]马兰,易华,代江群,等.肺尘埃沉着病患者双肺同期大容量肺灌洗术的临床疗效[J].宁夏医学杂志,2015,37(8):722-724.
[15]周军,杨怀宇,姚智,等.双肺同期大容量肺泡灌洗治疗肺尘埃沉着病患者53例的临床体会[J].四川解剖学杂志,2016,24(2):11-13.
[2]李冬红,刘健,盛秋洁,等.综合护理干预对肺尘埃沉着病患者行大容量肺灌洗治疗的影响[J].中国临床护理,2015,7(4):298-300.
[3]王晓云,张建斌,魏彩玲,等.大容量全肺灌洗对肺尘埃沉着病患者呼吸功能影响的Meta分析[J].长治医学院学报,2016,30(2):104-107.
[4]周军,杨怀宇,姚智,等.双肺同期大容量肺泡灌洗治疗肺尘埃沉着病患者53例的临床体会[J].四川解剖学杂志,2016,24(2):11-13.
[5]孙玉香,闫书梅,梁少辉.大容量全肺灌洗术中低氧血症的护理体会[J].中国疗养医学,2017,26(5):546-548.
[6]王润丰,方申存,周本昊,等.雾化吸入盐酸戊乙奎醚在肺尘埃沉着病患者大容量全肺灌洗术后的应用研究[J].临床肺科杂志,2016,21(11):2006-2008.
[7]陈志军,黄惠霞,李冬红,等.无创通气对肺尘埃沉着病患者大容量肺灌洗术后恢复的影响[J].职业与健康,2017,33(20):2760-2762.
[8]高丽妮,李宝平,孙治平,等.大容量全肺灌洗治疗肺尘埃沉着病术后的护理[J].职业与健康,2016,32(12):1721-1723.
[9]蔡步东,朱烽,刘春云,等.大容量全肺灌洗术对肺尘埃沉着病患者生命质量和经济负担的影响[J].医学理论与实践,2016,29(15):1987-1989.
[10]徐巧玲,王维霞,廖江荣,等.大容量肺灌洗术治疗肺尘埃沉着病患者的护理[J].医疗装备,2017,30(3):147-148.
[11]高天敏,李程旭,张鹏.大容量全肺灌洗术治疗肺尘埃沉着病的疗效分析[J].检验医学与临床,2016,13(16):2324-2326.
[12]赵文辉,朱桦.应用高频喷射通气行大容量全肺灌洗术麻醉体会[J].当代医学,2015,21(35):82-83.
[13]夏梦,孙杨,赵维珊,等.雾化吸入氨茶碱在大容量单肺灌洗术中的应用效果观察[J].中国急救医学,2016,36(z1):100-101.
[14]马兰,易华,代江群,等.肺尘埃沉着病患者双肺同期大容量肺灌洗术的临床疗效[J].宁夏医学杂志,2015,37(8):722-724.
[15]周军,杨怀宇,姚智,等.双肺同期大容量肺泡灌洗治疗肺尘埃沉着病患者53例的临床体会[J].四川解剖学杂志,2016,24(2):11-13.