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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。
Objective: To discuss the nursing measures of pulmonary nodule biopsy in patients undergoing electromagnetic navigation bronchoscopy. Methods: From October 2015 to May 2016, 39 patients with pulmonary nodules biopsy under magnetic bronchoscopy and 40 patients with pulmonary nodules biopsy under general painless bronchoscopy were enrolled in the perioperative period And nursing data for retrospective analysis. Results: There were 49 males and 30 females, with an average age of 56.2 ± 13.4 years and an average nodule diameter of 2.9 ± 1.7 cm. After rigorous care and cooperation, all patients obtained by biopsy of lung tissue, check the success rate of 100%. There were 2 and 1 patients with mild anxiety in preoperative electromagnetic navigation bronchoscopy group and normal painless bronchoscopy group, respectively, with no significant difference (P = 0.615). However, preoperative electromagnetic navigation bronchoscopy group and normal There were 2 and 13 pain-relieving bronchitis patients with mild depression, respectively, with statistical significance (P = 0.003). Two groups of patients did not occur adverse drug reactions and check the related complications. Conclusion: Tight nursing coordination helps to ensure the smooth implementation of electromagnetic navigation bronchoscopy.