术前呼吸功能训练对胸外科手术后功能恢复的影响

Effect of preoperative respiratory function training on the function recovery after thoracic surgery

目的探讨术前呼吸功能训练对胸外科术后肺功能恢复的影响情况。方法选取我院从2015年3月~2016年5月接收的胸外科手术患者120例,采用随机法分为研究组及对照组,各60例。术前对照组采用常规咳嗽训练法,研究组患者采用腹式呼吸训练、有效咳嗽训练法、缩唇腹式训练法。手术前后分别记录两组患者的肺功能情况,根据肺功能指标观察对比呼吸功能训练对患者的肺功能改善恢复情况。结果研究组患者呼吸频率低于对照组,第1秒时间肺活量情况、脉搏氧饱和度、血氧饱和度及每分最大通气量明显高于对照组,差异有统计学意义(P<0.05)。出院时研究组患者的肺功能恢复情况满意度为93.33%,高于对照组患者的80.00%,差异有统计学意义(P<0.05)。研究组患者术前每分最大通气量、脉搏氧饱和度、血氧饱和度及第1秒时间肺活量与术后相近,差异无统计学意义(P>0.05)。结论术前进行呼吸功能训练有助于术后肺功能恢复情况,可提高手术的耐受性,降低术后呼吸系统并发症的产生,有利于患者的康复,值得推广。

Objective To explore the impact of preoperative respiratory function training on recovery of pulmonary func- tion after thoracic surgery.Methods 120 patients with operation in department of thoracic surgery from March 2015 to May 2016 in our hospital were selected and randomly divided into study group and control group,60 cases in each group.Before operation,the control group was used routine cough training and the study group was used abdominal breathing training,effective cough training and pursed lip training.Before and after operation,lung function of patients in two groups were recorded.The respiratory function training on improvement of patients in department of thoracic surgery were compared and observed according to pulmonary function index.Results Suction frequency of study group was less than that of control group,and the first second time vital capacity,pulse oxygen saturation,oxygen saturation, per minute maximal ventilation were obvious higher than those of control group,with the difference was significant （P〈0.05）.Pul- monary function recovery satisfaction of study group at discharge time was 93.33%,higher than that of 80.00% in con- trol group,and the difference was significant （P〈0.05）.Before operation,per minute maximal ventilation,pulse oxygen sat- uration,oxygen saturation,the first second time vital capacity in study group was similar to that of the postoperative,the difference had no siginificance （P〉0.05）.Conclusion Preoperative respiratory function training is helpful to postopera- tive pulmonary function recovery,which can improve the tolerance to operation,reduce postoperative respiratory compli- cations,be conductive to the rehabilitation of patients and be worth spreading.