早期呼吸功能锻炼对老年冠状动脉旁路移植术后康复的影响  

Early Breath Exercise Accelerates the Rehabilitation after Coronary Artery Bypass Grafting in Aged Patients

作　　者：刘孟丽[1] 吴建军[1] 林慧[1] 朱豫[1] 王秀梅[1] 

机构地区：[1]广州军区武汉总医院心胸外科,武汉430070

出　　处：《华南国防医学杂志》2008年第1期49-50,共2页Military Medical Journal of South China

摘　　要：目的探讨早期呼吸功能锻炼对老年冠状动脉旁路移植术后康复的影响。方法将2005-02/2006-12月本科收治的80例老年冠状动脉旁路移植术患者随机分为两组,观测其术后鼻导管吸氧时间和首次咳痰时间,术后2h、拔除气管插管当天及拔除气管插管后第2天X光胸片报告结果,两组患者术后短期内血气分析结果进行比较。结果两组患者间存在明显差异(P<0.05),观察组明显优于对照组。结论早期呼吸功能锻炼对老年冠状动脉旁路移植术患者术后呼吸功能的恢复具有明显促进作用。Objective To investigate the effect of early breath exercise on the rehabilitation of the aged patients af ter coronary artery bypass graft （CABG）. Methods Eighty patients over 60 years old, who would undergo CABG, were admitted to our hospital from February 2005 to December 2006. Thirty-eight patients were randomly assigned to do rou tine preparation,while the other 42 patients were additionally taught to do respiratory training till the last day before oper ation and 2h after tracheal extubation. Nasal oxygen inhalation time, the first postoperative expectoration time and the results of chest X ray at postoperative 2h, the extubation day and the next day were recorded. The results of blood gas anal ysis shortly after operation were compared. Results All the indexes mentioned above except the result of blood gas analysis at 2h after operation showed significant difference between the two groups （P〈0. 05）, better in those who did the re spiratory training. Conclusion Early breath exercise accelerates the recovery of respiratory function in aged patients after CABG.

关 键 词：呼吸功能锻炼 老年患者 冠状动脉旁路移植术 康复 

分 类 号：R654.2[医药卫生—外科学]