改良式气球在老年患者腹腔镜围手术期呼吸功能锻炼中的应用效果

Application Effect of Modified Balloon in Perioperative Respiratory Exercise in Elderly Patients Undergoing Laparoscopic Surgery

目的探讨改良式气球应用于肝胆外科老年患者腹腔镜手术围手术期呼吸功能锻炼的临床效果。方法选取2021年10月至2022年6月某三甲医院肝胆胰外科60岁及以上拟行腹腔镜手术的住院患者127例。按照随机数表法分为研究组和对照组,其中研究组64例,对照组63例。对照组采用围手术期常规呼吸功能锻炼,锻炼时间从入院至手术前1 d。常规锻炼采用缩唇呼吸法、腹式呼吸法及有效咳嗽法。缩唇及腹式呼吸法每日锻炼2次,每次10 min;有效咳嗽法每日3次。研究组在常规锻炼的基础上增加改良式气球进行呼吸功能锻炼。改良式气球呼吸锻炼从住院当天开始至手术前1 d结束,每日2次,每次10 min。比较两组患者干预前后肺功能指标(FVC、FEV_(1)、PEF、MVV)、两组患者Borg评分、术后引流管留置时间及术后住院时间。结果研究组及对照组通过锻炼均能改善患者的呼吸功能,与锻炼前比较有统计学意义(P<0.05);研究组锻炼效果优于对照组(P<0.05)。两组术后留置引流管时间对比无差异(P>0.05),Borg评分及术后住院时间对比差异有统计学意义(P<0.05)。结论改良式气球应用于肝胆外科老年患者腹腔镜手术围手术期呼吸功能锻炼的临床效果显著,术后肺功能得到明显改善,住院时间缩短,患者及家属的满意度明显提高。

Objective To investigate the clinical effect of modified balloon on perioperative respiratory function exercise in elderly patients undergoing laparoscopic surgery.Methods From October 2021 to June 2022,127 inpatients aged over 60 years who planned to undergo laparoscopic surgery in the Department of Hepatobiliary and Pancreatic Surgery of a tertiary hospital were selected.The control group was given routine respiratory function exercise during perioperative period,and the exercise time was from admission to the day before operation.Conventional exercises include lip breathing,abdominal breathing and effective cough.Lip and abdominal breathing exercise 2 times a day,10 minutes each time,effective coughing three times a day.On the basis of routine exercise,the study group added improved balloons for respiratory function exercise.The modified balloon breathing exercise started from the day of hospitalization to the day before the operation,2 times a day,10 minutes each time.The pulmonary function indexes(FVC,FEV_(1),PEF,MVV),Borg score,postoperative drainage tube indwelling time and postoperative hospital stay were compared between the two groups before and after intervention.Results The study group and the control group can improve the respiratory function of patients through exercise,compare with before exercise,the difference was statistically significant(P<0.05).The exercise effect of the study group was better than that of the control group(P<0.05).There was no significant difference in the time of indwelling drainage tube in the two groups,and the Borg score and postoperative hospitalization time were statistically significant(P<0.05).Conclusion The clinical effect of modified balloon applied to perioperative respiratory function exercise in elderly patients undergoing laparoscopic surgery in hepatobiliary surgery is significant.The postoperative pulmonary function is significantly improved,the hospitalization time is shortened,and the satisfaction of patients and their families is significantly improved.