康复干预对高龄开胸手术患者的影响

Effect of get-well treatments on the suffers after thorax operation over 70 years old

目的探讨康复干预在70岁以上开胸手术患者康复中的应用。方法70岁以上开胸手术的患者68例随机分为两组，对照组32例行常规胸外科护理；实验组36例术前行肺功能训练，术后实施康复措施：心理康复、深呼吸、腹式呼吸、有效咳嗽、排痰、应用呼吸训练器、肢体功能锻炼、雾化吸入等。结果实验组患者的肺不张、肺感染、胸腔积液比观察组患者少，留置胸管时间、住院时间比观察组短。结论对高龄开胸手术患者，术前作好呼吸功能训练指导，术后施行正确有效的康复干预措施，对减少肺不张、肺感染、胸腔积液等并发症有重要作用。

Objective To investigate the application of get-well treatments in the suffers after thorax operation over 70 years old. Methods 68 suffers after thorax operation over 70 years old were divided to two groups. Comparison group（ n = 32） is actualized general nurse. Experiment group（ n = 36） is actualized lung function exercise before operation, and get-well treatments after operation, such as psychologic get-well, deep breath, abdominal breath,effective cough and sputuming, applying apparatus training breath, exercise limbs and body, atomization inbreath, and so on. Results The suffers in experiment group who have lung atrophy, lung infection, liquid in the tho- rax, the time in the hospital and the time holding thorax pipe are less than the suffers in comparison grot^p. Conclu- sion Lung function exercise before operation and effective get-well treatments after operation have significant ef- fects on old suffers.