体位训练和改进标本采集术在经支气管针吸活检术中的应用

目的探究体位训练和改进标本采集术在经支气管针吸活检术(EBUS-TBNA)中的应用效果。方法选取2014年6月—2016年8月在本院拟行EBUS-TBNA的102例患者作为研究对象,随机分为对照组和实验组,每组51例,分别采取常规护理方案和改进后的护理方案(进行体位训练)进行护理治疗。且对照组患者标本采集采用传统方法,实验组采用改进后的标本采集方法。观察2组患者护理成效状况、心理状态改善情况以及标本采集得到的病理阳性率。结果实验组患者的护理成效显著优于对照组,差异具有统计学意义(P0.05);实验组患者的SAS评分、SDS评分优于对照组,差异均具有统计学意义(P0.05);实验组得到的病理阳性率优于对照组(P0.05)。结论体位训练和标本采集术在EBUS-TBNA的应用,提高了穿刺的准确率及病理诊断的阳性率,减少了患者痛苦,提高了患者满意度,值得在临床中推广应用。

Application of postural training and specimen collection in EBUS-TBNA

Objective To explore the effect of body position training and specimen collection used in EBUS-TBNA.Methods A total of 102 patients with EBUS-TBNA in our hospital from June 2014 to August 2016 were selected as the study subjects.They were randomly divided into control group and experimental group, with 51 cases in each group, given routine nursing plan and improved nursing plan (body training), respectively.Nursing effect, improvement of mental state and the positive rate of specimen collection were observed.Results The nursing effect in the experimental group was significantly better than the control group, the differences were statistically significant (P<0.05);The SAS score, SDS score in experimental group were better than the control group (P<0.05);The pathological positive rate of the experimental group was 96.08%, which was significantly better than 84.31% of the control group, the difference was statistically significant (P<0.05).Conclusion Postural training and specimen collection used in the EBUS-TBNA can improve the accuracy of puncture and the positive rate o f pathological diagnosis, reduce pain of patients, and improve patients'' satisfaction, so it is worthy of clinical application.