呼吸功能训练对开胸手术病人康复的研究

Research on effect of pulmonary function training on recovery of patients underwent thoracic surgery

目的探讨术前呼吸功能训练对开胸手术病人康复的影响。方法选自我科2005年1月～12月在我科开胸手术患者100例为观察对象，随机分为实验组50例，对照组50例，对照组按临床常规护理进行指导，实验组行深慢呼吸、缩唇呼吸、咳嗽训练、吹气球训练等呼吸训练，观察比较2组患者术后并发症、胸管留置时间、住院天数，并用进行统计分析。结果实验组明显优于对照组。结论术前呼吸功能训练可减少开胸手术病人术后呼吸系统并发症的发生，促进病人早日康复。

Objective To investigate the effect of preoperative pulmonary function training on the recovery of the patients underwent thoracic surgery. Methods 100 patients underwent thoracic surgery from January to December 2005 were randomly divided into two groups, with 50 patients in the experiment group and 50 patients in the control group. Pulmonary function training was applied in the experiment group, including deep and slow breathing, pursed lip breathing, cough training, and training of blowing up the balloon. But the routine nursing was adopted in the control group. Postoperative complications, duration of chest tubes and hospital stay were compared and analyzed between the two groups. Results The clinical outcomes of the experiment group were significantly better than those of the control group （P 〈 0.05）. Conclusions Preoperative pulmonary function training can effectively reduce postoperative pulmonary complications and accelerate the recovery of patients.