早期呼吸训练器治疗对冠脉搭桥术后低氧血症患者肺部并发症的影响

发布时间：2018-06-13 22:02

本文选题：冠脉搭桥手术 + 低氧血症　；参考：《中国康复理论与实践》2017年06期

【摘要】：目的观察冠脉搭桥术后低氧血症患者早期呼吸训练器治疗的疗效。方法 2013年2月至2016年9月,冠脉搭桥术后低氧血症患者53例,随机分为对照组(n=25)和观察组(n=28)。两组均进行常规治疗,观察组在此基础上应用呼吸功能训练器进行呼吸功能锻炼。结果拔管后3 d,观察组1秒用力呼气容积(FEV_1)(实测值)和FEV_1/用力肺活量(FVC)明显高于对照组(t3.590,P0.01),氧分压(PaO_2)水平显著高于对照组(t=5.824,P0.001);两组FEV_1(实测值)、FEV_1(实测值/预计值)和FEV_1/FVC均较术前降低(F1.044,P0.05)。观察组总住院时间短于对照组(t=-2.138,P=0.037)。两组术后1 d PaO_2水平均较术前及拔管后3 d高(P0.001)。两组机械通气时间和ICU住院时间无显著性差异(P0.05)。结论早期呼吸训练器肺康复治疗有助于改善冠脉搭桥术后患者肺功能,进而改善氧合状态,缩短住院时间。
[Abstract]:Objective to observe the effect of early respiratory training in patients with hypoxemia after coronary artery bypass grafting (CABG). Methods from February 2013 to September 2016, 53 patients with hypoxemia after coronary artery bypass grafting were randomly divided into control group (n = 25) and observation group (n = 28). Routine therapy was performed in both groups, and respiratory function exercise was performed in observation group with respiratory function training apparatus. Results at 3 days after extubation, the levels of FEV _ 1 / FEV _ 1 / FEV _ 1 / FVCC in the observation group were significantly higher than those in the control group (t _ (3.590) P _ (0.01), P _ (0.01), P _ (2) were significantly higher than those in the control group (P _ (0.001), FEV _ (1) and FEV _ (1FVC) in both groups were significantly lower than those in the control group (P < 0.05). The total hospitalization time of the observation group was shorter than that of the control group. The level of PaO2 in both groups was higher than that before operation and 3 days after extubation (P 0.001). There was no significant difference in mechanical ventilation time and ICU hospitalization time between the two groups (P 0.05). Conclusion early respiratory training can improve pulmonary function, improve oxygenation state and shorten hospitalization time after coronary artery bypass grafting.
【作者单位】：四川省医学科学院四川省人民医院重症医学中心外科重症监护病房;
【基金】：四川省医学会医学科研课题计划项目(No.S16072)
【分类号】：R654.2

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