呼吸训练干预预防上腹部手术患者术后肺部并发症发生的疗效观察

Effect of respiratory training on postoperative pulmonary complications among patients undergoing upper abdominal surgery

目的:观察呼吸训练干预对上腹部手术患者术后肺部合并症(PPCs)及其它疗效指标的影响。方法:连续选择91例近期在我院接受上腹部手术治疗患者,根据入院时间随机分为研究组(46例)和对照组(45例),研究组术前进行深呼吸及有效咳嗽排痰训练,观察术后发生PPCs例数及其它疗效指标。结果:研究组术后住院期间PPCs例数、咳嗽例数、呼吸指数、3d PaO2、持续咳嗽时间、术后卧床时间和住院总时间等统计指标均明显优于对照组(P均<0.05～0.01)。结论:呼吸训练干预可明显减少上腹部手术患者术后PPCs发生以及改善各种疗效指标。

Objectlve：To observe the effects of respiratory training on postoperative pulmonary complications （PPCs） and efficacy indicators a- mong patients undergoing upper abdominal surgery. Methods： A total of 91 patients undergoing upper abdominal surgery were continuously selected from our hospital. All the patients were randomly divided into respiratory training group { n = 46） and control group （ n = 45 ）. Patients in the respiratory training group were treated with deep breathing and expectorating sputum training to observe the case numbers of PPCs and efficacy indicators postoperatively. Re- suits：Case numbers of PPCs and cough, respiratory index,3 dPa02, cough persistence time, postoperative bedridden time, and time of hospitalization in the respiratory training group were significantly higher than those in the control group （ P 〈 0.05 - 0.01 ）. Conclusion： Respiratory training intervention can obviously reduce the case numbers of PPCs among patients undergoing upoer abdominal surgery and improve efficacy indicators.