电磁导航支气管镜下行肺部结节活检患者的护理

发布时间：2018-03-28 21:31

本文选题：肺结节　切入点：电磁导航支气管镜　出处：《重庆医科大学学报》2017年09期

【摘要】：目的:探讨电磁导航支气管镜下行肺部结节活检患者的护理措施。方法:对2015年10月至2016年5月39例经电磁导航支气管镜下行肺部结节活检的患者以及同期40例经普通无痛支气管镜下行肺部结节活检的患者围手术期的临床和护理资料进行回顾性分析。结果:纳入病例中男性49例,女性30例,平均年龄(56.2±13.4)岁,结节平均直径(2.9±1.7)cm。经过严密的护理配合,所有患者均通过活检获得肺组织,检查成功率100%。术前电磁导航支气管镜组和普通无痛纤支镜组分别有2人和1人存在轻度焦虑状态,差异无统计学意义(P=0.615);而术前电磁导航支气管镜组和普通无痛纤支镜组分别有2人和13人存在轻度抑郁状态,差异具有统计学意义(P=0.003)。2组患者均未发生药物不良反应以及检查相关并发症。结论:严密的护理配合有助于保证电磁导航支气管镜检查的顺利实施。
[Abstract]:Objective: to investigate the nursing measures of patients with pulmonary nodule biopsy under electromagnetic-guided bronchoscopy. Methods: 39 patients with pulmonary nodule biopsy under electromagnetic-guided bronchoscopy and 40 patients with pulmonary nodules biopsy from October 2015 to May 2016 were studied. The clinical and nursing data of patients with pulmonary nodule biopsy under common painless bronchoscopy during perioperative period were retrospectively analyzed. Results: 49 male patients were included in the study. The mean age of 30 female patients was 56.2 卤13.4 years old. The mean diameter of nodules was 2.9 卤1.7 cm. The successful rate of examination was 100. There were 2 patients in the preoperative electromagnetic-guided bronchoscopy group and 1 person in the common painless fiberoptic bronchoscope group who had mild anxiety. There was no significant difference in P0. 615, but there were 2 cases of mild depression in the preoperative electromagnetic-guided bronchoscopy group and 13 cases in the common painless fiberoptic bronchoscopy group. There were no adverse drug reactions and related complications in the patients of PX 0.003.2 group. Conclusion: strict nursing cooperation is helpful to ensure the smooth implementation of electromagnetic navigation bronchoscopy.
【作者单位】：四川大学华西医院呼吸与危重症医学科;
【基金】：国家自然科学基金资助项目(编号:81201851)
【分类号】：R473.73

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