六字诀呼吸吐纳功对PFNA术后患者运动耐力的影响

Efficacy of Liuzijue on exercise endurance after PFNA

目的:探讨六字诀呼吸吐纳功对股骨粗隆间骨折PFNA术后患者运动耐力的影响。方法:将2017年1-8月我院58例股骨粗隆间骨折PFNA术后患者根据其住院号末尾数单双分为对照组和观察组。对照组29例,给予骨科常规术后护理干预,观察组29例,在骨科常规护理干预措施基础上术后当天指导六字诀呼吸吐纳功,持续训练一周。分别记录、比较、分析两组患者运动耐力(6MWD以及计步器步数)、Borg呼吸困难评分,同时测定其6 min步行后心率(HB)、呼吸(R)、血氧饱和度(SPO_2)。结果:观察组比对照组6MWD明显较好,且观察组患者步行步数明显多于对照组(P <0.05);观察组(1.8±0.3)呼吸困难评分明显低于对照组(3.1±1.2),P <0.05;观察组6 min步行后HB、R、SPO_2都在正常范围内,明显没有对照组波动大(P <0.05)。结论:六字诀呼吸吐纳功可以提高股骨粗隆间骨折PFNA术后患者运动耐力、减轻其呼吸困难症状。

Objective:To investigate efficacy of Liuzijue(六字诀)on exercise endurance after PFNA.Methods:58 cases were divided into two groups,29 cases in each.The control group was given conventional nursing;and the observation group was given Liuzijue more.Results:The 6MWD in the observation group was better,and the number of walking steps was more(P<0.05).The dyspnea score in the observation group was(1.8±0.3),which was significantly lower than(3.1±1.2)in the control group(P<0.05).HB,R,and SPO2 in the observation group were within the normal range after 6 minutes of walking,which was lower than the control group(P<0.05).Conclusion:Liuzijue on exercise endurance after PFNA shows a good effect.