高龄胆石患者围手术期中西结合呼吸道干预效果观察

目的：探讨高龄胆石患者围手术期间中西医结合呼吸道护理干预对术后肺部并发症及康复的影响。方法：选择126例高龄胆石症行“LC”术（全麻下行腹腔镜胆囊摘除术）的患者，随机分成观察和对照组，有针对性的进行常规呼吸道管理和中西结合呼吸道干预，观察两组措施后血氧饱和度、有效咳嗽排痰效果、住院天数及术后肺部并发症发生率等指标，分析其差异性。结果：观察纽采用中西结合的呼吸道干预与对照纽采取常规呼吸道管理后血氧饱合度比较差异有统计学意义（P〈0．05），观察组患者有效咳嗽排痰效果显著优于对照组，且住院天数及肺部并发症发生数低于对照组，差异有统计学意义（P〈0．05）。结论：中西结合呼吸道干预提高围术期间患者血氧饱和度，增加了有效咳嗽排痰效果，减少了肺部并发症，降低住院天数，保证患者以最佳状态接受手术并促进早日康复。

Observation on effect of respiratory intervention in intergrative medicine of elderly patients with gallstone during perioperative period

Objective： To explore the effect of respiratory nursing intervention in intergrative medicine of elderly Patients with gallstone during perioperative period on pulmonary complications and rehabilitation after surgrey. Method： Select 126 cases of patients with gallstone who took the LC surgrey to divide them into observation group and control group, making conventional respiratory management and respiratory intervention in intergrative medicine pertinently, observing the oxygen saturation, effect of effective cough expectoration, days in hospital and the incidence of pulmonary complications after surgrey and other indicators of the two groups after taking measures, analyzing the difference. Result： Comparing oxygen saturation of observation group which was treated respiratory intervention in intergrative medicine with the control group which was treated by the conventional respiratory management, the difference had statistically significant （P〈0.05）, the effect of effective cough expectoration of the observation group was better than that of the control group, and the days in hospital and the incidence of pulmonary complications was lower than that of the control group, the difference had statistically significant （P〈0.05）. Conclusion： Respiratory ntervention in intergrative medicine enhanced the oxygen saturation and increasing the effect of effective cough expectoration, reducing the pulmonary complications, decreasing the days in hospital, ensuring the patients to recive the surgrey in the best condition and promote them to recover early.