Effect of refined respiratory intervention management on preventing pulmonary infection of post-thoracotomy
10.3760/cma.j.issn.1674-2907.2015.17.020
- VernacularTitle:精细化呼吸干预管理预防开胸术后肺部感染的效果
- Author:
Li ZHU
1
;
Jianfen LIU
;
Jing JING
Author Information
1. 100730 中国医学科学院 北京协和医学院 北京协和医院门诊部
- Keywords:
Refined respiratory intervention management;
Prevention;
Post-thoracotomy;
Pulmonary infection
- From:
Chinese Journal of Modern Nursing
2015;(17):2054-2058
- CountryChina
- Language:Chinese
-
Abstract:
Objective Compare the effect of reducing patients′ pulmonary infection by different post-thoracotomy breathing intervention management modes. Methods A total of 88 sampled patients, who had done thoracotomy, were divided chronologically 44 each into control group (February to March 2013) and test group ( April to May 2013 ) . Regular respiratory intervention management were conducted on the control groups and refined respiratory intervention management were given to the test groups, compare the effect of two groups. Results The temperatures (36. 27 ± 0. 30)℃ of the patients from the test group at 6 pm in the 4th day after surgery were lower than ( 36. 78 ± 0. 36 )℃ of the control group; difference between the two groups were statistically significant (t=7. 35,P<0. 05). The white blood cell analysis (6. 07 ± 1. 43) × 109/L in the 4th after surgery of experimental group tend to be more normal than the white blood cell analysis (7. 61 ± 1. 94) × 109/L of the control group with statistical significance (t=4. 27,P<0. 05). There were all normal for chest X ray in the test group, but 4 cases with lung patchy infiltrate shadows in the control group with incidence rate 9. 09%. Conclusions Refined breathing intervention management can make the body temperature, white blood cell, neutrophils ratio of post-operative patients recover to normal range quick without lung auscultation wet rales, and prevent post-thoracotomy pulmonary infection.
