摘要
目的观察普胸外科微创手术后患者的住院期间指标。方法选取我院行支气管癌微创手术的患者120例作为研究对象。将其随机分为处理组与空白对照组,每组各60例患者。处理组在常规用药治疗,即对患者注射抗菌类药物,静脉注射头孢、奥硝锉和泮托拉唑药物,辅以氯洛昔康静脉滴注的基础上,另加注射盐酸氨溴索(促进呼吸道内部粘稠分泌物的排除及减少粘液的滞留),空白对照组在常规用药治疗基础上,仅注射等量葡萄糖作为对照。结果治疗后,空白对照组患者的治疗有效率为61.67%,治疗组的治疗有效率为90.00%,组间对比,差异具有统计学意义(P<0.05);治疗后,空白对照组患者的排痰总有效率为73.33%,治疗组的排痰总有效率为95.00%,组间对比,差异具有统计学意义(P<0.05);除出血、恶心、呕吐等不良反应外,治疗组白细胞下降、血小板下降、尿素氮升高、谷丙转氨酶升高等例数均高于空白对照组,差异均具有统计学意义(P<0.05)。结论普胸外科微创手术住院期间的不同的用药用量与护理方式可在一定程度上影响其住院时间长短以及术后恢复程度。
Objective To observe the index of hospitalization in patients after minimally invasive surgery in general department of thoracic surgery.Methods 120 cases of bronchial cancer minimally invasive surgery in our hospital were selected as the research objects.They were randomly divided into treatment group and blank control group,60 cases in each group.The treatment group was treated with routine medication,that is,injection of antiseptic drugs to patients,intravenous injection of cephalosporin,ornox file and pantoprazole,supplemented by intravenous drip of chloroxicam.Additional injection of ambroxol hydrochloride(promoting the removal of viscous secretions in the respiratory tract and reducing the retention of mucus).In the blank control group,only the same amount of glucose was injected into the control group.Results After treatment,the effective rate of the blank control group was 61.67%,the effective rate of the treatment group was 90.00%,and the difference between the groups was statistically significant(P<0.05).After treatment,the total effective rate of expectoration in the blank control group was 73.33%,the total effective rate in the treatment group was 95.00%,and the difference between the groups was statistically significant(P<0.05).In addition to the adverse reactions such as bleeding,nausea and vomiting,the number of leukocyte descent,thrombocytopenia,elevated urea nitrogen and elevation of alanine transaminase in the treatment group were higher than those in the blank control group,and the difference was statistically significant(P<0.05).Conclusion The indicators in the treatment group were better than those in the blank control group during the observation period.The different dosage and nursing mode of minimally invasive surgery in general department of thoracic surgery can affect the length of hospital stay and postoperative recovery to some extent.
作者
王家富
WANG Jiafu(Department of Thoracic Surgery,Shan County Central Hospital,Heze Shandong 274300,China)
出处
《中国继续医学教育》
2018年第12期79-81,共3页
China Continuing Medical Education
关键词
微创手术
住院指标
研究
minimally invasive surgery
the index of hospitalization
study
