馬飛
【摘 要】??目的: 分析多發(fā)肋骨骨折合并血?dú)庑匦星婚]式引流術(shù)患者實(shí)施優(yōu)質(zhì)護(hù)理的臨床效果。 方法: 選取我院2018年6月-2019年6月收治的70例多發(fā)肋骨骨折合并血?dú)庑匦星婚]式引流術(shù)患者,分為實(shí)施常規(guī)護(hù)理措施的對(duì)照組(35例)和實(shí)驗(yàn)組(35例),比較護(hù)理效果。 結(jié)果: 實(shí)驗(yàn)組患者護(hù)理后VAS評(píng)分更低于對(duì)照組(P<0.05)。實(shí)驗(yàn)組患者術(shù)后并發(fā)癥發(fā)生率5.7%顯著低于對(duì)照組(P<0.05)。 結(jié)論: 多發(fā)肋骨骨折合并血?dú)庑匦星婚]式引流術(shù)患者實(shí)施優(yōu)質(zhì)護(hù)理的臨床效果良好。
【關(guān)鍵詞】? 多發(fā)肋骨骨折;血?dú)庑?胸腔閉式引流術(shù);優(yōu)質(zhì)護(hù)理;護(hù)理效果
【中圖分類(lèi)號(hào)】?R365?????? 【文獻(xiàn)標(biāo)志碼】B?? 【文章編號(hào)】1005-0019(2020)05-037-02
Effect of high-quality nursing on patients with multiple rib fractures complicated with pneumohemothorax undergoing closed thoracic drainage
Ma Fei
Department of Thoracic Surgery, First People's Hospital of Jining City, Jining 272000
Abstract:
Objective:? To analyze the clinical effect of high quality nursing for patients with multiple rib fracture combined with hemopneumothorax undergoing closed drainage.? Methods:? Seventy patients with multiple rib fractures complicated with blood gas chest drainage were enrolled in our hospital from June 20 to June 2019. They were divided into control group (35 cases) and experimental group (35 cases). ), compare the effects of care.? Results:? The VAS scores of the experimental group were lower than those of the control group (P<0.05). The postoperative complication rate of the experimental group was 5.7% significantly lower than that of the control group (P<0.05).? Conclusion:? The clinical effect of high quality nursing for patients with multiple rib fractures combined with blood gas chest closed drainage is good.
Key words: multiple rib fracture; hemopneumothorax; closed thoracic drainage; high quality nursing; nursing effect
多發(fā)肋骨骨折患者通常會(huì)合并血?dú)庑?,如果沒(méi)有及時(shí)采取有效的處理措施,很容易引起急性肺水腫、急性呼吸窘迫、休克等一系列嚴(yán)重并發(fā)癥,嚴(yán)重威脅患者的生命健康安全 [1] 。目前,臨床主要采用胸腔閉式引流術(shù)治療,可有效改善患者呼吸,也可更好的了解患者胸內(nèi)臟器損傷狀況,更有利于患者搶救 [2] 。但圍術(shù)期仍存在諸多潛在的影響因素,為此非常有必要加強(qiáng)對(duì)患者的護(hù)理干預(yù),本文將2018年6月-2019年6月收治的70例多發(fā)肋骨骨折合并血?dú)庑匦星婚]式引流術(shù)患者為對(duì)象,報(bào)道如下。
1 基本資料與方法
1.1 一般資料
選取我院2018年6月-2019年6月收治的70例多發(fā)肋骨骨折合并血?dú)庑匦星婚]式引流術(shù)患者,按照隨機(jī)抽簽法分為各組30例患者的實(shí)驗(yàn)組和對(duì)照組,實(shí)驗(yàn)組中男22例,女8例;患者年齡19-71歲,平均(39.2±1.8)歲。受傷原因:高處墜落傷5例,重物砸傷6例,交通意外事故傷17例,其他2例。對(duì)照組中男21例,女9例;患者年齡20-71歲,平均(39.1±1.9)歲。受傷原因:高處墜落傷6例,重物砸傷7例,交通意外事故傷16例,其他2例。兩組患者的年齡、性別及受傷原因等資料經(jīng)統(tǒng)計(jì)學(xué)軟件處理發(fā)現(xiàn)無(wú)明顯差異,P>0.05,不存在統(tǒng)計(jì)學(xué)意義。
1.2 方法
對(duì)照組患者實(shí)施常規(guī)護(hù)理,主要包括密切監(jiān)測(cè)患者各項(xiàng)生命體征變化,觀察并記錄出血量情況,定時(shí)協(xié)助患者翻身,叮囑患者定時(shí)用藥,注意休息。實(shí)驗(yàn)組在對(duì)照組基礎(chǔ)上配合優(yōu)質(zhì)護(hù)理措施:
1.2.1 病情觀察 護(hù)理人員應(yīng)密切監(jiān)測(cè)患者脈搏、心電圖、血氧飽和度、血壓各項(xiàng)生命體征變化,同時(shí)還需要觀察患者病情,一旦發(fā)現(xiàn)異常應(yīng)立即告知醫(yī)生處理。護(hù)理過(guò)程中,應(yīng)多多和患者主動(dòng)交流、聊天,客觀評(píng)估患者病情,并根據(jù)患者的實(shí)際情況制定科學(xué)、合理的護(hù)理方案 [3] 。