呼吸功能锻炼对心胸外科手术患者的影响

The Influence of Respiratory Function Exercise on Patients with Cardiovascular and Thoracic Surgery

目的:探讨呼吸功能锻炼对心胸外科手术患者并发症的影响。方法:选取2012年2月-2014年2月在本院心胸外科住院的128例开胸手术患者,将患者随机分为实验组和对照组各64例,对实验组患者术前、术后进行呼吸肌评估、指导锻炼,观察术后患者肺部并发症的发生情况。结果:实验组患者在锻炼后,动脉血气氧分压、肺活量、每分钟最大通气量、血氧饱和度等与对照组相比都有不同程度的增加,肺部并发症也显著减少。结论:心胸外科开胸手术患者进行呼吸肌功能评估及呼吸功能锻炼有利于改善患者的肺功能,减少术后并发症。

Objective： To investigate impact of the respiratory function exercise on the complications of patients with cardiovascular and thoracic surgery.Method： 128 cases of open heart surgery who hospitalized in our hospital cardiothoracic surgery were chosen from February 2012 to February 2014, the patients were randomly divided into the experimental group （ n=64 ） and the control group （ n=64 ） . The experimental group was given respiratory muscle evaluation, exercise guidance preoperative and postoperative, the pulmonary complications were observed.Result： After exercise, compared with the control group, arterial blood gas oxygen partial pressure, lung capacity, the chase volume per minute, blood oxygen saturation, etc.in the experimental group had a different degree of increase, pulmonary complications were significantly reduce （ X 2=4.66, P〈0.05 ） .Conclusion： Respiratory muscle evaluation and respiratory function exercise in treatment of patients with cardiovascular and thoracic open surgery, can improve the patient＇s lung function, reduce postoperative complications.