胸腔积液患者气体交换受损的护理研究

南阳理工学院本科生毕业设计（论文）学院（系）：张仲景国医学院专业：护理学学生：张盼盼指导教师：李忠完成日期2012年03月南阳理工学院本科生毕业设计（论文）胸腔积液患者气体交换受损的护理研究PatientsWithPleuralEffusionGasExchangeDamagedNursingResearch总计：毕业设计（论文）11页表格：5个插图：0幅胸腔积液患者气体交换受损的护理研究南阳理工学院本科毕业设计（论文）胸腔积液患者气体交换受损的护理研究PatientsWithPleuralEffusionGasExchangeDamagedNursingResearch学院（系）：张仲景国医学院专业：护理学学生姓名：张盼盼学号：105160340020指导教师（职称）：李忠评阅教师：完成日期：2014年3月南阳理工学院NanyangInstituteofTechnology胸腔积液患者气体交换受损的护理研究胸腔积液患者气体交换受损的护理研究护理学专业张盼盼［摘要］目的探讨不同呼吸锻炼方法对胸腔积液患者胸腔积液日平均引流量、引流管留置时间的影响，为制定最佳的呼吸锻炼方法提供依据。方法将南阳市中心医院2013年7月～2014年3月收治的胸腔积液患者60例随机分为对照组、干预Ⅰ组、干预Ⅱ组各20例，对照组采用常规腹式呼吸锻炼，干预Ⅰ组采用常规呼吸锻炼﹢缩唇呼吸锻炼，干预Ⅱ组常规呼吸锻炼﹢吹气球锻炼。比较三组胸腔积液患者胸腔积液量、引流管留置时间等指标的差异性。结果三组中心静脉导管行胸腔闭式引流留置时间分别为：对照组5.00±1.94天，干预Ⅰ组4.45±1.56天，干预Ⅱ组3.60±1.75天，三组比较差异有统计学意义（P0.05）；进一步两两比较，仅干预Ⅱ组与对照组间差异有统计学意义（P0.05），干预Ⅱ组留置时间缩短1.40天。三组置管后不同时间引流量比较，差异均无统计学意义（P0.05）；结论对胸腔积液患者实施吹气球呼吸锻炼能缩短引流管留置时间，更有利于患者康复，改善患者气体交换状态且操作简单方便，可视性好，易于开展和推广使用。［关键词］胸腔积液；呼吸功能锻炼；气体交换状态PatientsWithPleuralEffusionGasExchangeDamagedNursingResearchNursingMajorZhangpanpanAbstract:Objective:Exploredifferentmethodsofbreathingexercisesinpatientswithpleuraleffusion,pleuraleffusiondailyaveragedrainage,drainagetubeindwellingtimeofimpact,providethebasisforthedevelopmentofthebestbreathingexercisemethod.MethodsThepatientswithpleuraleffusionNanyangCentralHospitalinJuly2013-April2014weretreated60caseswererandomlydividedintocontrolgroup,theinterventiongroupⅠ,groupⅡ20casestheinterventionandcontrolgroupusingconventionalabdominalbreathingexerciseinterventionⅠgroupusingconventionalbreathingexercises+pursedlipsbreathingexercises,breathingexercisesroutineinterventiongroupⅱ+blowerexercise.Pleuraleffusioncomparethreegroupsofpatientswithpleuraleffusion,drainagetubeindwellingtimeandotherindicatorsofdiversity.ResultsThreegroupsofcentralvenouscatheterthoracicdrainageretentiontimewereasfollows:controlgroup5.00±1.95days,theinterventiongroupⅠ4.45±1.57days,theinterventiongroupⅡ3.60胸腔积液患者气体交换受损的护理研究±1.76days,thedifferencebetweenthethreegroupswasstatisticallysignificant(P0.05);furtherpairwisecomparisons,onlytheinterventiongroupandcontrolgroupⅱbetweenstatisticallysignificant(P0.05)differencesintheinterventiongroupⅡshorterretentiontime1.40days.Threedifferenttimesaftercatheterdrainage,thedifferencewasnotstatisticallysignificant(P0.05)Conclusion:Forblowingballoonsforpatientswithpleuraleffusionbreathingexercisescanreducedrainagetubeindwellingtime,moreconducivetotherehabilitationofpatients,improvepatientgasexchangestatusandtheoperationissimpleandconvenient,goodvisibility,easytocarryandpromotetheuseof.Keywords:Pleuraleffusion;Respiratoryfunctionexercise;Gasexchangestate目录胸腔积液患者气体交换受损的护理研究1引言.............................................................................................................................11.1研究背景和意义............................................................................................11.2研究目的.........................................................................................................12对象与方法..............................................................................................................22.1病例选择标准...............................................................................................22.2一般资料........................................................................................................22.3研究工具........................................................................................................22.4评价方法........................................................................................................22.5研究方法........................................................................................................32.6伦理道德问题...............................................................................................42.7统计学分析....................................................................................................43结果............................................................................................................................53.1试验前三组患者一般情况............................................................................53.2试验后三组患者日平均引流量比较...........................错误!未定义书签。3.3试验组三组患者导管留置时间比较...........................错误!未定义书签。4讨论.............................................................................................................................64.1胸腔闭式引流管的护理影响胸腔积液患者的康复.......................................64.2置管后呼吸功能锻炼对胸腔积液引流和引流时间的影响...................74.3吹气球呼吸锻炼方法临床适用性与推广意义...............................................85结论............................................................................................................................9参考文献......................................................................................................................10致谢..............................................................................................................................11胸腔积液患者气体交换受损的护理研究11引言胸腔积液（Pleuraleffusion,简称胸液）是由于全身或局部病变破坏了胸膜腔内液体滤过与吸收的动态平衡而使胸腔内液体形成过快或吸收过缓所产生的，是临床的一种常见病症[1]。胸腔积液气体交换受损是指患者由于各种原因形成胸腔积液后能经受的肺泡和微血管