肺康复护理对颈段脊髓损伤患者呼吸功能的影响

Effect of lung rehabilitation nursing on respiratory function of patients with cervical spinal cord injury

目的探讨肺康复护理对颈段脊髓损伤患者呼吸功能的影响。方法48例颈段脊髓损伤患者随机分为观察组与对照组,各24例。对照组采用常规护理方法,观察组在对照组基础上给予肺康复护理干预。比较2组干预前及干预8周后患者肺活量(FVC)、第1秒用力肺活量(FEV1)、最大通气量(MVV)、血氧饱和度(SpO2)指标变化。记录2组肺部感染发生情况。结果干预后,2组FVC、FEV 1、MVV、SpO2指标均有改善,且观察组改善优于对照组,差异有统计学意义(P<0.05)。观察组发生肺部感染1(4.17%)例,对照组发生肺部感染8(33.33%)例,2组比较差异有统计学意义(P<0.05)。结论肺康复护理有助于患者呼吸自主功能的恢复,降低肺部感染风险。

Objective To investigate the effect of lung rehabilitation nursing on respiratory function of patients with cervical spinal cord injury.Methods Totally 48 patients with cervical spinal cord injury were randomly divided into the observation group and the control group,with 24 cases in each group.All patients received routine care during the treatment,and those in the observation group were given lung rehabilitation nursing interventions.The forced vital capacity(FVC),forced expiratory volume in one second(FEV1),maximum ventilation volume(MVV)and oxygen saturation(SpO2)were observed before and 8 weeks after intervention.The incidence of pulmonary infection was compared between two groups.Results Patients in the observation group achieved better outcomes of FVC,FEV 1,MVV and SpO2 compared with those in the control group after intervention(P<0.05).The incidence of pulmonary infection was 4.17%(1/24)in the observation group,which was significant lower than 33.33%(8/24)in the control group(P<0.05).Conclusion The lung rehabilitation nursing can improve the respiratory function of patients with cervical spinal cord injury,reduce risk f lung infection.