缩唇呼吸训练联合拍背咳痰法对胸腔镜肺癌根治术后患者肺功能康复和术后并发症的影响

Effects of Lip Contraction Breathing Training in Combination with Beating Expectoration on the Recovery of Pulmonary Function and Postoperative Complications in Patient after Thoracoscopic Radical Resection of Lung Cancer

目的:探讨缩唇呼吸训练联合拍背咳痰法对胸腔镜肺癌根治术后患者肺功能康复和术后并发症的影响。方法:选取行胸腔镜肺癌根治术的70例患者,采用随机数字表简单随机分组法分为观察组34例和对照组36例。对照组给予常规护理干预,观察组进行缩唇呼吸训练联合拍背咳痰法护理干预,两组共干预5天。观察两组护理前后肺功能测评[第1秒用力呼气的容积(forced expiratory volume in 1 second,FEV1)/用力肺活量(forced vital capacity,FVC)、第1秒用力呼气量占预计值百分比(forced expiratory volume in the first second as percentage of predicted value,FEV1/pred)、血氧饱和度]变化、平均每日排痰量、肺部呼吸疾病症状评分[慢性阻塞性肺疾病评估量表(chronic obstructive pulmonary disease assessment test,CAT)、改良英国医学研究会呼吸困难指数量表(modified medical research council dyspnea index,mMRC)]、两组患者护理后并发症发生情况。结果:护理后,两组FEV1/FVC值、FEV1/pred值组间比较差异无统计学意义(P>0.05)。护理后,两组血氧饱和度均显著上升(P<0.05),且观察组血氧饱和度显著高于对照组(P<0.05)。护理3、5天后,观察组平均每日排痰量显著高于对照组(P<0.05)。护理后,两组CAT评分、mMRC评分显著下降(P<0.05),且护理后观察组显著低于对照组(P<0.05)。结论:缩唇呼吸训练联合拍背咳痰法可改善胸腔镜肺癌根治术后患者肺功能、血氧饱和度,提升排痰量。

Objective:To discuss the effects of lip contraction breathing training and beating expectoration on the recovery of pulmonary function and postoperative complications in patients after thoracoscopic radical resection of lung cancer.Methods:Seventy patients who have undergone thoracoscopic radical resection of lung cancer were selected,and divided into the observation group(34 cases)and the control group(36 cases)by using random number table method.The control group accepted conventional nursing intervention,and the observation group lip contraction breathing training and beating expectoration,both groups were intervened for five days.To observe lung function assessment[FEV1/FVC,FEV1/pred and oxygen saturation],average daily sputum output,symptom scores of respiratory disease[CAT scores,mMRC scores]before and after nursing in both groups,,and the incidence of the complications after nursing between both groups.Results:After nursing,the difference had no statistical meaning in FEV1/FVC,FEV1/pred between both groups(P>0.05).After nursing,oxygen saturation was increased in the two groups notably(P<0.05),and oxygen saturation of the observation group was higher than that of the control group after nursing remarkably(P<0.05).After nursing for three and five days,average daily sputum output of the observation group was higher than that of the control group after nursing notably(P<0.05).After nursing,CAT scores and mMRC scores of both groups were decreased significantly(P<0.05),and after nursing,the observation group was lower than the control group significantly(P<0.05).Conclusion:Lip contraction breathing training and beating expectoration could improve pulmonary function and oxygen saturation,and raise sputum output in patients after thoracoscopic radical resection of lung cancer.