老年胃癌患者围手术期肺功能锻炼方法研究

Perioperative pulmonary function exercise in elderly patients with gastric cancer

目的探讨肺功能锻练对老年胃癌患者围手术期肺功能改善及对肺部感染的预防作用。方法选取老年胃癌患者119例,随机分为观察组与对照组,观察组术前有计划、系统的进行呼吸功能锻炼,术后指导患者有效咳嗽排痰。对照组患者只采用常规护理,未进行有计划的呼吸功能锻炼,对比2组患者术后肺功能改善及肺部感染等情况。结果观察组患者术后PaO2、指末氧饱和度显著高于对照组(P<0.05),PaCO2显著低于对照组(P<0.05);2组患者术后MVV、VC、FEV1显著低于术前(P<0.05);观察组术后各项指标显著高于对照组(P<0.05)。观察组患者肺部感染发生率显著低于对照组,组间比较差异有统计学意义(P<0.05)。结论对老年胃癌患者术前进行有计划、系统的肺部功能锻练,可有效改善患者围手术期肺功能,降低肺部并发症,对患者预后起积极作用。

Objective To investigate the preoperative pulmonary function improvement of lung function exercises for elderly patients with gastric cancer and exercises＇ preventive effect of lung infection. Methods A total of 119 senile patients with gastric carcinoma were randomly divided into observation group and control group, The observation group was given systematic respiratory function exercise preoperatively and effective cough and phlegm removal postoperatively, Control group was only given routine nursing without respiratory function exercise, The postoperative lung function improvement and lung infection status were compared between two groups,Results Postoperative PaO2 and oxygen saturation of observation group were sig- nificantly higher than those of control group （ P 〈 0.05）, while PaCO2 of observation group was significantly lower than that of control group （ P 〈 0.05） ; The postoperative MVV, VC and FEV1 of two groups were significantly reduced （ P 〈 0. 05） ; Each postoperative index of observation group was significantly higher than that of control group （ P 〈 0.05）, Pulmonary infection rate of the observation group was significantly lower than that of control group, The differences between groups were statistically significant（ P 〈 0.05）. Conclusion Preoperative lung function exercise in a planned way for elderly patients with gastric cancer can effectively improve the lung function, reduce the pulmonary complications, and play a positive role in prognosis.