呼吸功能训练器在胸腔镜术后患者中的应用

Application of respiratory function training device in patients undergoing thoracoscope

目的探讨呼吸功能训练器对胸腔镜术后患者肺功能康复的影响。方法2010年7月至2011年7月选取100例胸外科手术患者为观察对象，采用随机数字法分为观察组和对照组，每组50例，对照组予常规护理方案，观察组在对照组的基础上给予呼吸功能训练器进行锻炼，比较两组患者术后并发症、胸管留置时间及平均住院天数情况。结果观察组患者无并发症发生，对照组有2例并发肺不张，两组比较，差异无统计学意义（P〉0．05）。观察组胸管留置时间（4．28±1．34）d明显低于对照组的（5．42±1．68）d，术后平均住院天数（6．12±1．42）d较对照组（7．48±1．61）d明显缩短，两组比较，差异均有统计学意义（t值分别为3．75，4．48；P〈0．05）。结论将呼吸功能训练器应用于胸腔镜术后患者，可减少患者术后呼吸系统并发症的发生，更快促进肺复张，促进患者术后恢复，缩短住院时间。

] Objective To study the effect of using respiratory function on patients undergoing thoracoscope. Methods Totals of 100 patients with thoracic surgery were randomly divided into the observational group and control group, with each group of 50 cases. And control group received conventional care ,while observational group received the respiratory function for training exercise on the basic of conventional care. Results No significant difference was found in the incidence of complication between observational group and control group （0 vs 2 ;P 〉 0.05 ）. In observational group, the average chest tube residence time was （4.28 ±1.34）d, and the average hospitalization time was （6. 12 ± 1.42 ）d, which was significantly lower than that in control group （5.42 ± 1.68 ） days and （7.48 ± 1.61 ） days （ t = 3.75,4.48 ; P 〈 0.05 ）. Conclusions Applying the respiratory function training can reduce the incidence of respiratory complications for patients with thoracic surgery and promote patients＇ postoperative recovery.