目的 分析综合护理配合电视胸腔镜(VATS)治疗创伤性血气胸的疗效。方法 将我院自2015年1月-2017年1月收治的 64例创伤性血气胸患者列为病例采集对象，按随机数字表法将其分为观察组与对照组，每组32例，对照组仅给予 VATS治疗，观察组在对照组基础上给予综合护理，对比两组患者离床下地活动时间、住院天数，同时采用焦虑/抑 郁自评量表对两组患者治疗前后的负性情绪进行评价分析，并统计住院期间不良反应发生率。结果 干预前，两组 患者一般临床资料及焦虑、抑郁自评分值无对比差异(P＞0.05)，经综合护理配合VATS治疗后，观察组患者引流导 管留置时长、离床下地时间、住院时长较对照组短，焦虑（SAS）及抑郁自评（SDS）分值皆低于对照组；且住院期 间，观察组不良并发症总发生率为3.12%，显著低于对照组的18.75%，上述观察指标行组间对比皆可见差异有统计 学意义（P＜0.05）。结论 综合护理配合VATS治疗创伤性血气胸能通过全方位护理减少术后不良情绪产生的心理应 激现象及术后压疮、肠梗阻等不良并发症发生。

Objective To analyze the curative effect of comprehensive nursing combined with video-assisted thoracoscopic surgery (VATS) in the treatment of traumatic hemopneumothorax. Methods 64 cases of traumatic hemopneumothorax patients in our hospital from January 2015 to January 2017 were collected as the cases objects and were randomly divided into the observation group and the control group with 32 cases in each group according to the random number table method. The control group was only given VATS treatment and the observation group was given comprehensive nursing on the basis of treatment in the control group. Patients out of bed activity time and hospital stays were compared between the two groups, and the negative emotions before and after treatment were evaluated and analyzed between the two groups by anxiety/depression self-rating scales, and the incidence rate of adverse reactions during hospitalization was counted. Results Before intervention, there was no difference between the two groups in the general clinical data and the scores of anxiety and depression (P>0.05). And after comprehensive nursing and VATS treatment, the length of indwelling catheter, the time under the bed and the length of hospital stay in the observation group were shorter than those in the control group, and the scores of self- rating anxiety score (SAS) and self-rating depression score (SDS) were lower than those in the control group. During hospitalization, the total incidence rate of adverse complications was 3.12% in the observation group, which was significantly lower than that in the control group with18.75%, and the above observing indexes were statistically significant between the groups (P<0.05). Conclusion Comprehensive nursing combined with VATS can reduce postoperative adverse psychological stress and postoperative pressure ulcers, intestinal obstruction and other adverse complications through all-round nursing in the treatment of traumatic hemopneumothorax.