术前计划性肺部功能锻炼对食管癌根治术患者肺部并发症发生率的影响

Effects of preoperative planned pulmonary function exercise on the incidence of pulmonary complications in patients undergoing radical resection of esophageal cancer

目的探讨术前计划性肺部功能锻炼对食管癌根治术患者肺功能、血气、生活质量及并发症的影响。方法选取该院2015年1月至2017年1月收治的行食管癌根治术患者100例为研究对象,按随机数字表法分为观察组和对照组各50例。对照组予以常规护理,观察组在对照组基础上实施计划性肺部功能锻炼。比较两组患者干预前后肺功能、呼吸功能、血气值变化,采用焦虑自评量表(SAS)及抑郁自评量表(SDS)对患者负性情绪予以评估,采用诺丁汉健康量表(NHP)对两组患者干预前后进行生活质量的评价,并比较两组患者并发症的发生率。结果观察组的VC%、FEV1%、FVC%显著高于对照组(P<0.05);观察组的呼吸频率显著低于对照组,SpO2显著高于对照组(P<0.05);观察组的PaO2显著高于对照组(P<0.05);观察组的NHP评分显著高于对照组(P<0.05),SAS、SDS评分显著低于对照组(P<0.05);观察组的并发症发生率显著低于对照组(P<0.05)。结论计划性肺部功能锻炼可显著改善食管癌根治术患者的肺功能及血气,提高患者的生活质量,有效避免并发症的发生。

Objective To explore the effects of preoperative planned pulmonary function exercise on lung function,blood gas,quality of life and complications in patients undergoing radical resection of esophageal cancer.Methods A total of 100 cases of patients with esophageal cancer who underwent radical resection from January 2015 to January 2017 were selected for the study and were divided into observation group and control group according to the random number table method,50 cases of each group.The control group received routine nursing care,and the observation group carried out planned pulmonary functional exercise on the basis of the control group.The lung function,respiratory function and blood gas value were compared between the two groups before and after intervention.The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate the patients'negative emotions.The Nottingham health scale(NHP)was used to evaluate the quality of life of the two groups before and after intervention,and the incidence rate of complications was compared between the two groups.Results The VC%,FEV1%and FVC%in observation group were significantly higher than those in control group(P<0.05).The respiratory rate in observation group was significantly higher than that in control group,while the SpO2 was significantly higher than that in control group(P<0.05).The PaO2 in observation group was significantly higher than that in control group(P<0.05).The NHP score in observation group was significantly higher than that in control group(P<0.05),while the scores of SAS and SDS were significantly lower than those in control group(P<0.05).The incidence rate of complications in observation group was significantly lower than that in control group(P<0.05).Conclusions Planned pulmonary function exercise can significantly improve lung function and blood gas in patients with radical resection of esophageal cancer,promote the quality of life,and effectively avoid the occurrence of complications.