深吸气训练在开胸手术后高龄高危患者中的应用

发布时间：2018-12-17 06:18

【摘要】：目的观察术后使用深吸气呼吸功能锻练对高龄高危患者开胸术后的疗效。方法将41例食管癌、肺癌根治术患者随机分成两组,干预组术前后行深吸气呼吸功能锻练,常规组常规治疗。观察两组术后肺功能、术后肺部并发症(PCC)等差异。结果干预组术后的肺功能指标深吸气量(IC)和用力呼气流量(PEF)明显大于常规组(P0.05);干预组PCC发生率为11.1%,常规组为52.2%,差异有统计学意义(P0.05);再次气管插管率和病死率低于常规组(11.1%vs.27.7%,0vs.13.0%),但差异无统计学意义(P0.05);并且住院费用、住ICU时间及平均住院时间较常规组均明显减少或缩短(P0.05)。结论呼吸机和深吸气训练器结合的方法能够改善高龄高危患者术后的呼吸功能,降低术后PCC的发生,从而减少住院时间和经费。
[Abstract]:Objective to observe the effect of deep breathing exercise after thoracotomy in elderly and high-risk patients. Methods 41 patients with esophageal carcinoma and radical resection of lung cancer were randomly divided into two groups. Pulmonary function and postoperative pulmonary complications (PCC) were observed in the two groups. Results the pulmonary function index (IC) and forced expiratory flow (PEF) in the intervention group were significantly higher than those in the routine group (P0.05). The incidence of PCC was 11.1 in the intervention group and 52.2 in the routine group. The difference was statistically significant (P0.05). The re-intubation rate and fatality rate were lower than those in the routine group (11.1 vs 27.70.vs.13.0%), but the difference was not statistically significant (P0.05). In addition, the cost of hospitalization, the duration of ICU and the average length of hospitalization were significantly decreased or shortened compared with the routine group (P0.05). Conclusion the combination of ventilator and deep inspiratory training device can improve the respiratory function and reduce the incidence of PCC after operation in elderly patients with high risk, thus reducing the hospitalization time and expense.
【作者单位】：成都军区机关第三门诊部;中国人民解放军61195部队门诊部;第三军医大学西南医院心胸外科;
【分类号】：R473.6

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