两种护理方案在小儿支气管肺炎中的效果比较(1)
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[摘要] 目的：探讨两种护理方案在小儿支气管肺炎中的应用效果。方法：收集2010年1月~2010年12月行胸腔镜下小儿肺癌根治术患儿24例作为护理组(整体性护理方案)，收集2009年1月~2009年12月行胸腔镜下小儿肺癌根治术患儿24例作为对照组(常规护理方案)。结果：经过治疗后，两组患儿都达到Ⅰ期愈合，但是护理组拔管时间虽稍短于对照组，但差异无统计学意义；护理组患儿术后住院天数少于对照组(P<0.05)，且并发症发生率为13.8%，低于对照组的40%(P<0.05)。结论：规范化、系统性的护理方案是胸腔镜下行小儿肺癌根治术成功的重要保证。
[关键词] 支气管肺炎；小儿；胸腔镜下肺癌根治术；护理
[中图分类号] R473.73 [文献标识码] A [文章编号] 1673-7210(2011)06(c)-130-02
Comparison on two care program in children of bronchial pneumonia
WANG Xuening, ZHOU Lanying, LING Sufang
Department of Pediatrics, Tangxia Hospital of Dongguan City, Gongdong Province, Dongguan 523721, China
[Abstract] Objective: To discuss two care program in children effects of bronchial pneumonia. Methods: From January 2010 to December 2010, 24 children were selected as nursing group (holistic care program) who were given holistic care after thoracoscope resection of lung cancer；From January 2009 to December 2009, 24 children were selected as control group (routine care program) who were given routine care after lung cancer cure pediatric endoscopic thoracic surgery. Results: After treatment, both groups of children had healed I, but the nursing group with shorter extubation time than the control group, but there was no significant difference in the two groups; postoperative hospital day of nursing group was shorter than the control group (P<0.05); and the complication rate of nursing group was 13.8%, lower than the control group (40%) (P<0.05). Conclusion: The standardized, systematic care program is the line of pediatric thoracoscope resection of lung cancer as an important guarantee of success.
[Key words] Bronchial pneumonia; Children; Thoracoscope resection of lung cancer; Care
小儿支原体肺炎是一种常见病、多发病，四季都可以发病。肺部体征通常与影像学表现不一致，并可造成多器官、多系统损害。发病危急的患儿可导致形成肺癌，常常需要手术治疗[1]。胸腔镜国内应用于小儿肺癌根治术，是近年开始且手术难度较高的术式，在围术期护理非常重要[2]。本院在这几年中对胸腔镜下肺癌根治术患儿采用两种不同的护理方案，现报道如下：
1 资料与方法
1.1 一般资料
收集2010年1月~2010年12月在本院内科行胸腔镜下肺癌根治术患儿24例作为护理组，选取2009年1月~2009年12月行胸腔镜下肺癌根治术患儿24例作为对照组。两组患儿均经病理学检查诊断为肺癌[3]。护理组中，男18例，女6例；年龄3~10岁，平均6.8岁；类型：腺癌14例，鳞癌10例；肺功能：I级10例，II级14例。对照组中，男17例，女7例；年龄4~11岁，平均7.1岁；类型：腺癌13例，鳞癌11例；肺功能：I级9例，II级15例。两组患儿年龄、性别、肺癌类型及其分级情况比较，差异无统计学意义(P>0.05)，具有可比性。
1.2 手术方法
两组患儿都采用胸腔镜下肺癌根治术：静脉复合麻醉 ......
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