呼吸训练在气道球囊扩张术治疗结核性中心气道狭窄中应用

Application of breathing training in balloon dilatation for the interventional treatment of tuberculous airway

目的探索呼吸训练在球囊扩张术介入治疗结核性中心气道狭窄中的应用效果。方法选取我院2012年7月至2014年12月的36例中央气道良性狭窄球囊扩张介入治疗的患者,并以2010年3月至2012年6月在本院治疗36例作对照组,比较两组患者前后气促及胸痛变化。结果介入治疗一周后观察组气促评分2级以上9例(25.0%)、胸痛2+以上7例(19.4%),对照组气促评分2级以上12例(33.4%)、胸痛2+以上20例(55.5%)(P<0.05)。结论开展介入治疗结核性中心气道狭窄时实施呼吸训练,有利于改善患者术后气促及胸痛,减少患者痛苦,提高手术依从性。

Objective To investigate the application of breathing training intervention in balloon dilatation for tuberculous central airway stenosis. Methods From July 2012 to December 2014, 36 patients with benign cen-tral airway stenosis given balloon dilatation intervention were selected as the observation group, and another 36 pa-tients with benign central airway stenosis from March 2010 to June 2012 were taken as the control group. Their breath shortness and chest pain changes were compared. Results The dyspnea score above 2 levels was 9 cases （25%）, and the chest pain more than 2 ＋ was 7 cases （ 19. 4%） in the observation group, compared with 33. 4% and 55. 5% respectively in the control group （ P〈0. 05 ） . Conclusion The breathing intervention in balloon dilatation for the interventional treatment of tuberculous central airway stenosis is conducive to the improvement of shortness of breath and chest pain in patients after operation, which can reduce the suffering of patients and improve the clinical compliance.