呼吸训练器对腹部手术后肺部并发症预防的应用

Application of Breath Training Device in Prevention of Pulmonary Complications After Abdominal Surgery

目的观察术前用呼吸训练器行呼吸功能锻练对减少腹部手术后肺部并发症的疗效,为术前呼吸训练的必要性提供依据。方法将130例腹部手术病人随机分成两组,功能训练组术前用呼吸训练器进行呼吸训练,对照组不训练,对术后肺部并发症进行比较。结果应用呼吸训练器的功能训练组发生肺部感染和二次插管的发生率均为3.8%,对照组分别为30.8%和25.0%,差异有统计学意义(p<0.05)。结论呼吸训练器训练法能够提高患者术前的呼吸功能,降低围手术期风险和术后肺部并发症,是一种简单实惠、行之有效的方法。

Objective To observe the curative effect of applying breath training device in respiratory function exercise before surgery on reducing pulmonary complications after abdominal surgery and to provide a basis for necessary breath training before surgery.Method 130cases of patients undergoing abdominal surgery were divided into two groups randomly.Patients in function training group had breath training with breath training device before surgery and those in control group were not trained,and pulmonary complications after surgery were compared.Results Incidence rate of pulmonary infection and second intubation in the function training group trained with breath training device was 3.8%,that in control group was 30.8%and 25.0%respectively,and the differences were statistically significant（p0.05）.Conclusion Training method with breath training device is a simple and effective method which can improve breath function of patients before surgery and reduce peri-surgical risk and pulmonary complications after surgery.