术前专项呼吸功能训练在肺结节手术患者中的应用效果

Application effects of preoperative special respiratory training in patients undergoing pulmonary nodule surgery

目的:观察术前专项呼吸功能训练在肺结节手术患者中的应用效果。方法:回顾性分析2021年1—6月该院收治的52例肺结节手术患者的临床资料,纳入对照组,回顾性分析2022年1—6月该院收治的55例肺结节手术患者的临床资料,纳入观察组。两组均实施常规护理,在此基础上,对照组实施常规呼吸功能训练,观察组在对照组基础上实施术前专项呼吸功能训练。比较两组入院时和术后7 d肺功能指标[第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、最大自主通气量(MMV)]水平、临床指标(胸腔引流管留置时间、住院时间)水平、入院时和术后1个月生命质量[圣乔治呼吸问卷(SGRQ)]评分、并发症发生率和满意度评分。结果:术后7 d,观察组FEV_(1)、FVC、MVV水平均高于对照组,差异有统计学意义(P<0.05);观察组胸腔引流管留置时间、住院时间均短于对照组,差异有统计学意义(P<0.05);术后1个月,观察组SGRQ评分低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为3.64%(2/55),低于对照组的19.23%(10/52),差异有统计学意义(P<0.05);观察组满意度评分高于对照组,差异有统计学意义(P<0.05)。结论:术前专项呼吸功能训练应用于肺结节手术患者可改善肺功能指标,缩短胸腔引流管留置时间和住院时间,降低SGRQ评分和并发症发生率,提高满意度评分,效果优于常规呼吸功能训练。

Objective:To observe application effects of preoperative special respiratory training in patients undergoing pulmonary nodule surgery.Methods:The clinical data of 52 patients with pulmonary nodules admitted to this hospital from January to June 2021 were retrospectively analyzed and they were included in the control group.The clinical data of 55 patients with pulmonary nodules admitted to this hospital from January to June 2022 were retrospectively analyzed and they were included in the observation group.Both groups were given routine nursing.On this basis,the control group received routine respiratory function training,while the observation group received preoperative special respiratory function training on the basis of that of the control group.The levels of pulmonary function indexes[forced expiratory volume in 1 second(FEV_(1)),forced vital capacity(FVC),maximum voluntary ventilation(MMV)]and the clinical indexes(indwelling time of thoracic drainage tube,hospitalization time),the quality of life[St.George’s respiratory questionnaire(SGRQ)]score,the incidence of complications,and the satisfaction score were compared between the two groups at admission and 1 month after the surgery.Results:7 days after the surgery,the levels of FEV_(1),FVC and MVV in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The indwelling time of thoracic drainage tube and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).1 month after the surgery,the SGRQ score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 3.64%(2/55),which was lower than 19.23%(10/52)in the control group,and the difference was statistically significant(P<0.05).Further,the satisfaction score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions:Preoperative special respiratory function training applied to the patients undergoing pulmonary nodule surgery can improve lung function index levels,shorten the indwelling time of thoracic drainage tube and the hospitalization time,reduce the SGRQ scores and the incidence of complications,and improve the satisfaction scores.Moreover,it is superior to the routine respiratory function training.