可视化血氧饱和度指标对肺切除术患者呼吸锻炼效果的影响

Effectiveness with pulse oximetry monitoring for breathing exercises in patients undergoing pneumonectomy

目的常规呼吸训练增加麻醉科的可视化血氧饱和度(SpO_2)指导肺切除术患者呼吸锻炼的效果及依从性。方法 2010年1月至2015年12月符合入选标准的126例肺叶切除术患者,分成传统常规锻炼(N)组、可视化锻炼(V)组,各63例进行呼吸锻炼缩唇呼吸及腹式呼吸,其中V组按SpO_2按标准指导。记录2组掌握深呼吸程度、入室时深呼吸锻炼达标率、术后7天深呼吸锻炼达标率、主动订立运动计划率。结果2组比较宣教知情评分、入室时自学深呼吸达标率无差异(P>0.05)。术后7天深呼吸达标率V组高于N组(P<0.05)。全组术后总感染率5.3%,组间无差异。结论麻醉医生利用时间和技术的优势,延续外科术前呼吸训练,首次锻炼时以可视SpO_2即时新锻炼指标,能提高锻炼效果,且能提高患者锻炼信心,对提高患者呼吸锻炼依从性,参与长期运动锻炼计划,有积极意义。

Objective To test how pneumonectomy patients respond to blood oxygen saturation( SpO_2) monitoring that guide their breathing exercise for the first time. Methods 126 patients were randomly divided into the control group( n = 63) and the observation group( n = 63). All patients were asked to learn how to breathe shrinkage lip and abdominal breathing exercises. The observation group was given SpO_2 monitoring technique as the standard training program. The clinical data before surgery and 7 days after surgery were compared to evaluate the breathing training programs,exercise effect to reach the standard rate,and willingness to participate in training proportion among the two groups. Results There was no significant difference in understanding how to perform breathing exercises. The successful recovery rate of exercises effect reaching the standard 7 days after surgery was higher in the observation group than in the control group( P < 0. 05). The incidence of postoperative infection was 5. 3%( P > 0. 05).Conclusion Taking the advantages of time and technology to prolong preoperative breathing exercise,it can improve their exercise effect and patients' confidence and compliance for the first time of breathing exercise under SpO_2 monitoring.