呼吸训练器联合早期下床活动方案对多发性肋骨骨折患者术后恢复及肺功能的影响

Effects of Respiratory Trainer Combined with Early Ambulation Plan on Postoperative Recovery and Lung Function in Patients with Multiple Rib Fractures

目的探讨呼吸训练器联合早期下床活动方案对多发性肋骨骨折术后患者的影响。方法选取聊城市东昌府人民医院2020年11月—2023年4月收治的90例多发性肋骨骨折术后患者为研究对象,按照随机数字表法将其分为对照组和观察组,每组45例。对照组采用常规干预,观察组采用呼吸训练器联合早期下床活动方案。比较两组患者的术后恢复指标、肺功能及生活质量。结果观察组的拔除引流管时间、住院时间均短于对照组,术后引流量少于对照组,组间差异有统计学意义(P<0.05)。干预后,观察组的用力肺活量、第1秒用力呼气容积分别为(3.22±0.41)L、(2.24±0.31)L,均大于对照组的(2.97±0.36)L、(2.05±0.22)L,组间差异有统计学意义(P<0.05);观察组的各项生活质量综合评定问卷评分均高于对照组,组间差异有统计学意义(P<0.05)。结论多发性肋骨骨折术后患者采用呼吸训练器联合早期下床活动方案干预的效果显著,可改善其肺功能,加快术后恢复,提高生活质量。

Objective To investigate the effect of respiratory trainer combined with early ambulation plan on patients with multiple rib fracture after surgery.Methods A total of 90 patients after multiple rib fracture surgery admitted to Liaocheng Dongchangfu People's Hospital from November 2020 to April 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 45 cases in each group.The control group was treated with routine intervention,and the observation group was treated with respiratory trainer combined with early ambulation plan.The postoperative recovery indexes,lung function and quality of life were compared between the two groups.Results The drainage tube removal time and hospitalization time in the observation group were shorter than those in the control group,and the postoperative drainage volume was less than that in the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the forced vital capacity and forced expiratory volume in one second in the observation group were(3.22±0.41)L and(2.24±0.31)L,respectively,which were higher than(2.97±0.36)L and(2.05±0.22)L in the control group,and the differences between the groups were statistically significant(P<0.05);the scores of generic quality of life inventory-74 in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The intervention effect of respiratory training combined with early ambulation plan in patients after multiple rib fracture surgery is significant,which can improve lung function,accelerate postoperative recovery and improve quality of life.