强化呼吸功能训练在退行性脊柱侧凸术前护理中的应用

Application of enhanced respiratory function training in preoperative nursing for degenerative scoliosis patients

目的探讨强化呼吸功能训练在退行性脊柱侧凸术前护理中的应用效果。方法 60例退行性脊柱侧凸择期手术患者随机分成对照组(n=29)和观察组(n=31)。对照组采用常规术前护理,观察组在对照组基础上实施强化呼吸功能训练流程。观察2组动脉血气分析值,评估2组呼吸功能训练效果。结果观察组用力肺活量(FVC)、一秒用力呼气容积(FEV1)、氧分压(PaO 2)高于对照组,二氧化碳分压(PaCO_2)低于对照组,差异有统计学意义(P<0.05或P<0.01)。观察组呼吸功能训练有效率83.87%(26/31),对照组为72.41%(21/29),但差异无统计学意义(P>0.05)。结论强化呼吸功能训练流程对改善退行性脊柱侧凸患者术前肺功能具有积极意义。

Objective To investigate the effect of respiratory function training in preparative nursing for degenerative scoliosis （DS） patients. Methods A total of 60 DS patients with selec-tive operation were randomly divided into the control group （n = 29） and the observation group （n =31）. Both two groups received routine preparative nursing and enhanced respiratory function training was carried out in the observation group. The arterial blood gas analysis was carried out and the efficacy of respiratory function training was evaluated in both two groups. Results Pa-tients in the observation group had a higher level of forced vital capacity （FVC） , forced expirato-ry volume in 1 second （FEV1） and arterial oxygen pressure （Pa0 2） , and lower partial pressure of carbon dioxide （PaC02） , compared with those in the control group （P 〈0.05o r P 〈0.01）. The efficacy rate of respiratory function training was 83. 87 % （26/31） in the observation group and was 72. 41% （21/29） in the control group, with no significant difference （P 〉0. 05）. Conclusion Enhanced respiratory function training is potentially effective to improve the pulmonary function in DS patients.