呼吸道管理小组在Stanford A型主动脉夹层术后护理中的应用研究

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摘要目的探讨呼吸道管理小组在Stanford A 型主动脉夹层术后护理中的应用效果。方法选取2019年3月至2020年4月南昌大学第二附属医院收治的80 例Stanford A 型主动脉夹层术后患者为研究对象，采用随机数字表法分为对照组（40 例）和试验组（40 例）。对照组采用常规护理模式干预，试验组采用呼吸道管理小组干预。比较两组患者的肺功能恢复情况、并发症总发生率、疼痛数字评分法（NRS）评分及住院时间。结果护理前两组患者肺功能各项指标比较，差异无统计学意义（P>0.05）；护理后，试验组的血氧饱和度、氧合指数、氧分压的水平高于对照组，氧浓度水平低于对照组，差异有统计学意义（P＜0.05）。试验组的并发症总发生率低于对照组，差异有统计学意义（P<0.05）。两组患者干预前的NRS 评分比较，差异无统计学意义（P>0.05）；两组患者干预后的NRS 评分低于干预前，试验组的NRS 评分低于对照组，差异有统计学意义（P＜0.05）。试验组的住院时间短于对照组，差异有统计学意义（P<0.05）。结论通过对Stanford A 型主动脉夹层术后患者使用规范细致的呼吸道管理，患者的肺功能得到良好恢复，有效预防呼吸系统并发症发生，大大缩短其住院时间，保证患者术后健康恢复。

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	邓锦新
	韩熙

关键词 ：呼吸道管理小组, Stanford A 型主动脉夹层, 护理, 应用效果

Abstract：Objective To explore the application effect of respiratory tract management team in postoperative nursing of Stanford A aortic dissection. Methods A total of 80 patients with Stanford a type A aortic dissection were selected from March 2019 to April 2020 in the Second Affiliated Hospital of Nanchang University as the study objects. The patients were divided into control group (40 cases) and experimental group (40 cases). The control group adopted the routine nursing mode intervention, the experimental group adopted the respiratory management group intervention. The recovery of lung function, the total incidence of complications, the score of pain digital score (NRS) and the length of hospitalization were compared. Results There was no significant difference in pulmonary function between the two groups before nursing (P>0.05). After nursing, the levels of blood oxygen saturation, oxygenation index and oxygen partial pressure in the experimental group were higher than those in the control group, while oxygen concentration was lower than those in the control group, the differences were statistically significant (P<0.05). The total incidence of complications in the experimental group was lower than that in the control group, the difference was statistically significant (P<0.05).There was no significant difference in NRS scores between the two groups before intervention (P>0.05). The NRS score of the two groups after intervention was lower than that before intervention, and the NRS score of the experimental group was lower than that of the control group, the differences were statistically significant (P<0.05). The length of hospitalization in the experimental group was shorter than that in the control group, the difference was statistically significant (P<0.05). Conclusion Through the use of standardized and meticulous respiratory management for patients with Stanford A aortic dissection, the pulmonary function of the patients has been well recovered, the occurrence of respiratory complications has been effectively prevented, the hospitalization time has been greatly shortened, and the healthy recovery of the patients has been ensured.

Key words： Respiratory management team Stanford type A aortic dissection Nursing Application effect

基金资助:江西省卫生健康委科技计划项目（20204284）。

引用本文:

邓锦新；韩熙. 呼吸道管理小组在Stanford A型主动脉夹层术后护理中的应用研究[J]. 中国当代医药, 2022, 29(6): 155-158.
DENG Jinxin；HAN Xi. Application research of respiratory management team in postoperative nursing of Stanford type A aortic dissection. 中国当代医药, 2022, 29(6): 155-158.

链接本文:

https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2022/V29/I6/155

[1]	郭子健，赵明明，孙雨薇，等.急性A 型主动脉夹层术前低氧血症危险因素分析[J].心肺血管病杂志，2018，37（11）：1002-1006.
[2]	陈春燕，原建文，陈夏斐.整体护理对急性Stanford A 型主动脉夹层（AAAD）患者围术期干预效果观察[J].广州医药，2018，49（5）：125-127.
[3]	Nakajima T，Kawazoe K，Izumoto H，et al.Risk Factors for Hypoxemia After Surgery for Acute Type A Aortic Dissection[J].Surg Today，2006，36（8）：680-685.
[4]	陆政日，法宪恩，王宏山.老年Stanford A 型急性主动脉夹层的手术治疗[J].西安交通大学学报（医学版），2017，38（5）：768-772.
[5]	陈钊.Stanford A 型主动脉夹层患者术后护理研究进展[J].中西医结合护理（中英文），2019，5（6）：197-200.
[6]	那竹惠，付琼芬，皮静虹，等.认知行为干预对Stanford A型主动脉夹层患者术前焦虑抑郁状况的治疗[J].昆明医科大学学报，2018，39（11）：74-78.
[7]	严广斌.NRS 疼痛数字评价量表numerical rating scale[J].中华关节外科杂志（电子版），2014，8（3）：410.
[8]	叶仕高，刘永春.主动脉夹层的治疗研究进展[J].中国医学创新，2019，16（12）：169-172.
[9]	颜培梅，万建红.Stanford A 型主动脉夹层患者术后发生早期不良事件的危险因素分析[J].齐鲁护理杂志，2019，25（24）：38-41.
[10]	彭小青.六西格玛理论在Stanford B 型主动脉夹层患者围术期安全护理管理中运用[J].护理实践与研究，2017，14（7）：53-55.
[11]	董晨艳，陈海燕.主动脉夹层术后低氧血症早期实施俯卧位通气的护理体会[J].中国继续医学教育，2016，8（19）：249-250.
[12]	黄艳娇，张立，罗湘玉.急性Stanford A 型主动脉夹层术后呼吸道的护理[J].实用临床护理学电子杂志，2017，2（7）：58.
[13]	段旭洲，陈佳，徐志云.急性A 型主动脉夹层术前低氧血症危险因素分析[J].第二军医大学学报，2016，37（1）：111-114.
[14]	王丽沛，何卫，刘瑶.急性Stanford A 型主动脉夹层术后全程优质护理研究[J].中国预防医学杂志，2018，19（6）：469-471.
[15]	胡维书.Stanford A 型主动脉夹层术后低氧血症护理的研究进展[J].齐鲁护理杂志，2020，26（2）：98-100.