摘要
目的 分析全麻下经硬质气管镜治疗大气道内肿瘤58例的护理方法。方法 选择2023年1月-2025年1月接收的58例大气道内肿瘤患者为研究对象，将其按照随机数表方式分组，分为对照组（n=29，常规护理）与观察组（n=29，综合护理）。对比两组护理效果（并发症发生率；动脉血气；VAS评分；SF-36评分；护理满意度）。结果 （1）并发症发生率，观察组低于对照组（P<0.05）。（2）动脉血气分析，观察组护理后pH值、PaO2值高于对照组、PaCO2值低于对照组（P<0.05）。（3）VAS评分，观察组护理后VAS评分低于对照组（P<0.05）。（4）SF-36评分，观察组护理后SF-36评分高于对照组（P<0.05）。（5）护理满意度，观察组护理满意度高于对照组（P<0.05）。结论 全麻下经硬质气管镜治疗大气道内肿瘤58例的护理方法实施效果佳，可降低并发症发生率，改善动脉血气指标水平，降低疼痛痛苦，提高生活质量，获得患者护理满意评价，值得采纳。
关键词： 全麻；经硬质气管镜；大气道内肿瘤；并发症；综合护理
Abstract
Objective To analyze the nursing methods of 58 cases of large airway tumors treated with rigid bronchoscopy under general anesthesia. Methods 58 patients with large airway tumors received from January 2023 to January 2025 were selected as the study subjects. They were randomly divided into a control group (n=29, receiving routine care) and an observation group (n=29, receiving comprehensive care) according to a random number table. Compare the nursing effects of two groups (incidence of complications; arterial blood gas; VAS score; SF-36 score; Nursing satisfaction). Results (1) The incidence of complications in the observation group was lower than that in the control group (P<0.05). (2) Arterial blood gas analysis showed that the pH and PaO2 values in the observation group were higher than those in the control group after nursing, while the PaO2 value was lower than that in the control group (P<0.05). (3) VAS score showed that the observation group had a lower VAS score than the control group after nursing (P<0.05).(4) The SF-36 score was higher in the observation group than in the control group after nursing (P<0.05). (5) Nursing satisfaction was higher in the observation group than in the control group (P<0.05). Conclusion The nursing method of treating 58 cases of large airway tumors with rigid bronchoscopy under general anesthesia has shown good implementation effect, which can reduce the incidence of complications, improve arterial blood gas index levels, reduce pain and suffering, improve quality of life, and obtain patient nursing satisfaction evaluation. It is worth adopting.
Key words： General anesthesia; Through rigid bronchoscopy; Large airway tumors; Complications; Comprehen-sive care
参考文献 References
[1] 张晓. 综合护理联合心理干预对支气管镜检查患者麻醉效果及心理状态的影响[J].辽宁医学杂志,2025,39(04): 82-85.
[2] 王莉颖,汤培凤,顾赛凤,等. 硬质气管镜联合电子支气管镜介入对中央大气道肿瘤的治疗及护理效果[J].河北医药,2020,42(17):2697-2700.
[3] 赵纯,曾俊仁,徐松,等.综合介入治疗甲状腺癌合并气道及食管狭窄的临床疗效分析[J].临床放射学杂志, 2025, 44(10):1964-1968.
[4] 赵玉红.综合护理干预+优质护理在纤维支气管镜肺泡灌洗术治疗重症肺炎患儿中的效果分析[J].婚育与健康, 2025(22):127-129.
[5] 王颖,王文靓,赵佳梅.心理暗示联合行为干预对纤维支气管镜检查患者焦虑情绪,护理满意度及检查依从性的影响[J].中外医药研究, 2025, 4(20):130-132.
[6] 田兵兵,刘焱,何琛,等. 精准护理理念在纤维支气管镜下肺灌洗术中的临床应用效果[J].中国防痨杂志,2025, 47(S1):240-243.
[7] 方亚莉. 探究标准化护理对气管镜介入治疗气道狭窄患者的改善效果[J].中国标准化,2025, (10):289-292.
[8] 杨巧妙,黄小霞,文雯,等. 集束化护理在支气管结核气管镜介入治疗中的应用效果[J].中国防痨杂志,2024,46 (S2):399-402.