摘要
目的评估开胸术前呼吸功能锻炼对改善肺功能的效果。方法对58例拟行开胸手术的低肺功能患者,指导进行呼吸、有效咳嗽锻炼,观察锻炼前后患者肺功能改善及动脉血气分析情况。结果锻炼后患者肺活量、潮气量、第1秒用力呼气量、顶峰呼气流速较锻炼前均有不同程度改善（P〈0.05）,锻炼后动脉血氧饱和度、动脉血氧分压较锻炼前明显提高,动脉二氧化碳分压明显下降（P〈0.05）,有显著性差异。结论加强呼吸功能锻炼可改善患者的肺功能,增加手术治疗机会,降低手术风险,提高手术成功率。
Objective To evaluate the effect of respiratory function exercise before thoracotomy.Methods 58 patients with low pulmonary function would be taken thoracotomy.They were guided to do proper breath and cough exercise.The change of the patients＇ pulmonary function（PF） and blood gas（BG） before and post the exercise were observed.Results After respiratory function exercise,the patients＇ vital capacity（VC）,tidal volume（VT）,forced expiratory volume in one second（FEV1） and peak expiratory flow rate（PEFR） had been improved in different level compared to pre-exercise（P〈0.05）,and their SaO2,PaO2 had been improved obviously and PaCO2 decreased obviously,the different between pre-exercise and post-exercise was significant（P〈0.05）.Conclusions Respiratory function exercise can improve the patient＇s PF and increase the chance of operation and decrease the operative dangerous rate as well as promote the operation successful rate.
出处
《现代护理》
2008年第1期82-83,共2页
Modern Nursing
关键词
功能锻炼
呼吸功能
开胸手术
Function exercise
Respiratory function
Thoracotomy
