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目的探讨集束化护理干预在调强放疗未控食管癌患者再行手术治疗的围手术期呼吸道管理中的应用方法和效果。方法 65例调强放疗未控食管癌再行手术治疗的患者,随机分为观察组(32例)和对照组(33例)。对照组实施常规围术期呼吸道护理干预,观察组在对照组的基础上实施集束化护理干预,比较两组的护理效果。结果观察组干预后术后肺部并发症发生率为12.50%,低于对照组的33.33%(P<0.05),护理满意度为96.88%高于对照组的78.79%,差异有统计学意义(P<0.05)。结论集束化护理干预在调强放疗未控食管癌患者再行手术治疗的围术期呼吸道管理中起着非常重要的作用,可以明显减少术后肺部并发症,提高满意度,促进患者早日康复,提高手术的成功率。
Objective To explore the method and effect of intensive nursing intervention in the management of perioperative respiratory tract in patients undergoing esophagectomy and metastatic esophageal cancer with IMRT. Methods Sixty - five patients underwent IMRT esophageal cancer surgery were randomly divided into observation group (32 cases) and control group (33 cases). The control group underwent routine perioperative respiratory care intervention. The observation group received intensive nursing intervention on the basis of the control group, and the nursing effect was compared between the two groups. Results The incidence of postoperative pulmonary complications in observation group was 12.50%, lower than that in control group (33.33%, P <0.05), nursing satisfaction was 96.88%, 78.79% in control group, the difference was statistically significant P <0.05). Conclusions The intensive nursing intervention plays a very important role in the management of perioperative respiratory tract in patients undergoing esophageal cancer with IMRT after IMRT. It can significantly reduce postoperative pulmonary complications, improve satisfaction and promote early recovery of patients , Improve the success rate of surgery.