肝癌患者手术后并发急性呼吸窘迫综合征的护理

目的探讨肝癌术后并发急性呼吸窘迫综合征（ARDS）的临床护理方法及效果。方法将我院2008年6月～2011年12月92例肝癌术后并发ARDS患者随机分为两组，每组各46例，对照组给予常规护理，观察组在对照组基础上给予全面的护理干预措施。结果观察组患者心理改善情况明显优于对照组，差异具有统计学意义（P〈0．05）；观察组患者平均住院时间短于对照组，平均住院费用低于对照组，护理满意度显著高于对照组，两组比较差异均具有统计学意义（P〈0．05）。观察组患者术后不良反应发生率为15．22％；对照组患者术后不良反应发生率为30．34％；两组比较差异具有统计学意义（P〈0．05）。结论全面有效的护理干预措施，可显著改善ARDS患者的呼吸功能，缩短患者康复时间，提高治愈率，降低死亡率，改善患者的生活质量。

The nursing of liver cancer patients after surgery with acute respiratory distress syndrome

Objective To discuss the method and the effect of clinical care of hepatoma postoperative acute respiratory distress syndrome （ARDS）. Methods All 92 patients with postoperative liver cancer complicated ARDS were randomly divided into two groups in our hospital from June 2008 to December 2011, 46 cases in each group, control group were given routine care, the observation group were given comprehensive nursing intervention measures based on the control group. Results The observation group patients psychological improvement was significantly better than the control group; difference was statistically significant （P 〈 0.05）; The observation group patients average shorter hospitalization time than the control group, the average hospitalization cost lower than those of the control group, the differences be- tween the two groups were significant （P 〈 0.05）. The observation group patients adverse reaction rate was 15.22%; incidence of adverse reactions of the patients of the control group was 30.34%; groups, the difference was statistically significant （P 〈 0.05）. Conclusion The effective care interventions can improve the respiratory function of patients with ARDS significantly, shorten recovery time of patient;Improve the cure rate and reduce mortality, and improve the quality of life of patient＇s.