呼吸专项干预对肺癌根治术患者术后肺功能及并发症的影响

Effects of special respiratory intervention on lung functions and complications of postoperative radical resection of pulmonary carcinoma

目的探讨呼吸专项干预对肺癌根治术患者术后肺功能及并发症的影响。方法选取2020年3月至2021年7月接受肺癌根治术患者105例,采用随机数字表法将其分为对照组(n=52)和研究组(n=53)。对照组采用常规护理干预,研究组在对照组基础上采用呼吸专项干预,对比2组各项康复时间、并发症发生率、术前、术后1个月的肺功能情况。结果研究组呼吸机使用时间、术后卧床时间、ICU停留时间、住院时间均短于对照组(t=3.501、3.489、3.267、3.561,P<0.05);研究组并发症发生率为3.77%低于对照组的15.38%(χ^(2)=4.107,P<0.05);术后1个月,研究组的用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))、FEV_(1)/FVC均高于对照组(t=3.242、3.174、3.586,P<0.05)。结论接受肺癌根治术患者采用呼吸专项干预,能有效促进患者术后康复,改善术后肺功能,降低并发症发生率,值得推广。

Objective To explore the effects of special respiratory intervention on lung functions and complications in patients with postoperative radical operation of pulmonary carcinoma.Methods The patients(n=115)underwent radical resection of pulmonary carcinoma from March 2020 to July 2021 were enrolled,and the patients were randomly and gave either routine nursing intervention(n=52,control group)or routine nursing intervention+special breathing intervention(n=53,research group).The intergroup recovery time,complication rates,lung function on day 0 and postoperative month 1 were included as comparator.Results The mechanical ventilation time,postoperative bed rest,the intensive care unit(ICU)stay and hospital stay in the study group were shorter than those in the control group(t=3.501,3.489,3.267,3.561,P<0.05);The complications rates in the study group were lower than that in the control group(3.77%vs 15.38%,χ^(2)=4.107,P<0.05,respectively).The forced vital capacity(FVC),forced expiratory volume at the first second(FEV_(1))and FEV_(1)/FVC in the study group were higher than those in the control group in month 1(t=3.242,3.174,3.586,P<0.05).Conclusion For patients underwent radical resection of pulmonary carcinoma,special respiratory intervention is effectively capable promoting postoperative rehabilitation,improving lung functions and reducing complications.