术前呼吸功能锻炼对上腹部手术患者肺功能的影响

Effect of preoperative respiratory function exercise on pulmonary function of patients undergoing upper abdominal surgery

目的观察术前呼吸功能锻炼对上腹部手术患者肺功能的影响。方法选择行上腹部手术患者36例，随机分为呼吸功能锻炼组（实验组）与对照组，实验组术前连续3天进行束腹深胸式呼吸训练和有效的咳嗽排痰训练，观察两组患者术前、术后肺功能的变化情况。结果呼吸锻炼组术后肺功能指标明显好于对照组（P〈0．05）。结论呼吸功能锻炼可改善病人的肺功能，提高患者对上腹部手术的耐受性，减少术后肺部并发症的发生。

Objective To investigate the influence of preoperative respiratory function exercise on pulmonary function. Methods Thirty-six cases following upper abdominal surgery were selected and divided into two groups randomly： experimental group treated with respiratory function exercise and control group. The change of pre- and post-operative pulmonary function in were observed and analyzed. The experimental group received the deep thoracic breathing training and valid cough training during three days of preoperation. Results Pulmonary function recovered earlier in experimental group than in the control group significantly. Conclusions Respiratory function exercises might improve pulmonary function patients undergoing upper abdominal surgery, enhance operative endurance ,and decrease postoperative complication in respiratory organs.