全程干预在高龄腹股沟疝合并慢性阻塞性肺疾病围手术期的应用

目的探究全程干预在高龄腹股沟疝合并慢性阻塞性肺疾病围手术期的应用。 方法选取2017年8月至2018年8月，连云港市第一人民医院收治的围手术期高龄腹股沟疝合并慢性阻塞性肺疾病患者50例，根据随机数字法，分为全程干预组及常规护理2组，每组25例。护理前及护理后记录2组患者体温、氧合指数及APACHEⅡ评分。护理后统计2组患者并发症的发生率、肺部感染率及护理满意率。 结果护理前后2组患者的体温与组间体温比较，差异均无统计学意义（P>0.05）。氧合指数较护理前明显升高，且全程护理组患者的氧合指数显著高于常规护理组，2组患者的APACHEⅡ评分与护理前相比均显著下降，且全程干预患者APACHEⅡ评分明显低于常规护理组，差异均有统计学意义（P<0.05）。全程干预组肺部感染率8.00%明显低于常规护理组32.00%，全程干预组患者的护理满意度92.00%显著高于常规护理组68.00%，差异均有统计学意义（P<0.05）。 结论全程干预在高龄腹股沟疝合并慢性阻塞性肺疾病患者围手术期的应用可降低患者术后肺部感染率的发生，促进术后恢复。

Application of the value of whole intervention in elderly patients with inguinal hernia complicated with chronic obstructive pulmonary disease during perioperative period

ObjectiveTo explore the application of whole intervention in the perioperative period of elderly inguinal hernia complicated with chronic obstructive pulmonary disease (COPD). Methods50 patients with perioperative inguinal hernia complicated with COPD from August 2017 to August 2018 were admitted to ICU in Lianyungang first people's Hospital. According to random number method, the patients were divided into the whole intervention nursing group and the routine nursing group, 25 cases in each group. Body temperature, oxygenation index and APACHE Ⅱ score were recorded before and after nursing care. The incidence of postoperative complications, pulmonary infection rate and nursing satisfaction rate were counted after nursing care in the two groups. ResultsThere was no significant difference in body temperature between the two groups before and after nursing care. (P>0.05). The oxygenation index was significantly higher than that before, and the oxygenation index in the whole process intervention group was significantly higher than that in the routine nursing group. The scores of APACHE Ⅱ in both groups were significantly lower than those before nursing. The score of APACHE Ⅱ in the whole process intervention group was significantly lower than that in the routine nursing group (P<0.05). The incidence of pulmonary infection in the whole process intervention group 8.00% was significantly lower than that in the routine nursing group 32.00%. The rate of nursing satisfaction was 92.00% in the whole process intervention group and 68.00% in the routine nursing group. ConclusionThe application of whole intervention in the perioperative period of elderly patients with inguinal hernia complicated with COPD can reduce the incidence of postoperative pulmonary infection and promote postoperative recovery, which is worthy of clinical application.