术前诱发性肺量计训练对高龄髋关节置换患者术后肺功能影响

Preoperative Incentive Spirometry Patient Education for Hip Joint Replacement

目的探讨术前诱发性肺量计训练对高龄髋关节置换术后肺功能的影响。方法采用随机对照研究设计方法,将2015年6月至2016年9月在我院收治的60例行髋关节置换术高龄患者按简单随机方法分为诱发性肺量计训练组(30例),常规护理组(30例),观察术后肺功能恢复时间、血气分析、肺部并发症和非肺部并发症情况。结果术后诱发性肺量计容量恢复至术前水平的时间,诱发肺量计训练组(9.3±2.1)h,对照组(15.4±2.8)h,两组比较差异有统计学意义(P=0.03),术后肺部并发症方面诱发肺量计训练组1例,对照组3例,差异无统计学意义(P=0.604),非肺部并发症诱发肺量计训练组5例,对照组8例,差异无统计学意义(P=0.530)。血气分析方面,术后0.5h两组动脉血氧饱和度诱发肺量计组(94±0.8)%,对照组(92.5±0.96)%,差异有统计学意义(P=0.041)。结论术前诱发肺量计训练能促进高龄髋关节置换术患者肺功能恢复,但还需大样本研究进一步评估对肺部并发症和非肺部并发症的影响。

Objective To investigate the effect of preoperative incentive spirometry education on pulmonary function after total hip replacement.Methods 60 patients undergoing hip replacement were randomly divided into incentive spirometry education group （30 cases）,the routine nursing group （30 cases）.Weobserved pulmonary function recovery time,complications of lung and non-pulmonary complications.Results The time of IS return to preoperative volume was （9.3±2.1）hours inexperiment group,and（15.4±2.8）hours in control group,there was significant difference between two groups （P=0.03）,Inexperiment group,there was 1 case of pulmonary complications in experimentgroup,and 3 cases in control gourp.There was no significant differences between two groups （P=0.604）.In experiment group,5 cases hadnon-pulmonary complication,and 8 cases in control group,there was no significant differences between two groups （P=0.530）.0.5 hours after operation,arterial oxygen saturation in experiment group was （94±0.8）%,and （92.5±0.96）% in the control group,the difference was statistically significant （P=0.041）.Conclusion Preoperativeincentive spirometry education can promote the recovery of pulmonary function of patients with total hip replacement,but it still needs further study with large samples to assess effects on pulmonary complications and non pulmonary complications.