肺癌患者在术后并发急性呼吸窘迫综合征的护理干预

目的探讨肺癌患者术后并发急性呼吸窘迫综合征的临床护理方法。方法选取肺癌手术后并发急性呼吸窘迫综合征患者72例作为研究对象，其中对照组36例行常规护理，观察组36例在常规护理的基础上给予优质护理干预，观察比较2组患者的临床效果。结果观察组中27例顺利康复出院，其余9例手术后1～3周内死亡，存活率为75.0%; 对照组中19例顺利康复出院，其余17例手术后1～3周内死亡，存活率为52.8%。2组患者存活率比较，差异具有统计学意义（P＜0.05）。结论针对肺癌术后并发急性呼吸窘迫综合征患者予以及时有效的治疗和优质的护理，密切关注患者的病情发展和身心状态，并加强患者的呼吸道管理，可以有效改善患者的临床症状，提高患者的存活率，值得临床推广应用。

Nursing intervention for lung cancer patients with postoperative acute respiratory distress syndrome

Objective To explore the clinical nursing methods for lung cancer patients with postoperative acute respiratory distress syndrome （ARDS）. Methods 72 lung cancer patients with postoperative ARDS were collected and randomly divided into control group and observation group, 36 cases in each group. The control group was conducted with conventional nursing, while the ob- servation group was conducted with high - quality nursing intervention on the basis of the control group. Clinical efficacy was compared between two groups. Results In the observation group, 27 patients recovered and discharged successfully, 9 patients died within 1 to 3 weeks after surgery, and the survival rate was 75.0% ; in the control group, 19 patients recovered and discharged suc- cessfully, 17 patients died within 1 to 3 weeks after surgery, and the survival rate was 52.8%. The survival rate in the observation group was significantly higher than that in the control group （P 〈 0. 05）. Conclusion Implementation of targeted and effective treatment and high- quality nursing for lung cancer patients with ARDS, close observation on condition of disease and patients＇physical and mental states as well as reinforced respiratory tract management can effectively improve the patients＇ clinical symptoms and increase the patients＇survival rate, so it is worthy of clinical popularization and application.