脊柱侧凸患者采用不同牵引法对肺功能锻炼效果的影响  

Effects of different traction methods and breath excercise on scoliosis patients' pulmonary function

作　　者：朱建英[1] 高音[2] 汪小冬[1] 叶文琴[1] 

机构地区：[1]第二军医大学附属长海医院护理部,上海市200433 [2]解放军第306医院骨科

出　　处：《中华护理杂志》2009年第4期331-334,共4页Chinese Journal of Nursing

基　　金：上海市科学技术委员会科研计划项目,课题编号:044119610

摘　　要：目的了解应用悬吊牵引法与滑动式脊柱侧凸牵引床牵引对特发性脊柱侧凸患者术前肺功能锻炼效果的影响。方法选择2006年10月至2008年1月在我院脊柱外科住院待手术的特发性脊柱侧凸患者41例,将全部患者按入院顺序随机分为A组与B组,A组采用自行设计的滑动式脊柱侧凸牵引床进行牵引,B组采用自身悬吊法进行牵引。同时所有患者均按常规进行术前肺功能锻炼,观察锻炼前后肺功能变化。结果A组患者各肺功能指标牵引前后的差异有统计学意义(P<0.05);B组患者牵引前后肺活量(VC)、肺活量占预计值的百分比(VC%)两项指标差异无统计学意义(P>0.05);组间对比结果显示,两组患者牵引前后VC、VC%差值的差异有统计学意义(P<0.05),A组改善程度较高。结论A组患者肺功能锻炼效果优于B组。Objective To explore the effects of breath exercise and different traction methods on pulmonary function of teenaged seoliosis patients. Methods From October 2006 to January 2008,41 patients scheduled for spinal orthomorphia in our hospital,in the order of the hospitalized time,were divided into Group A（apply the sliding traction table for scoliosis） and Group B（apply hanging system）. At the same time all the patients were doing pulmonary functional exercise according to the routine method ,and the pulmonary function indexes before and after exercise were detected. Results The indexes of the pul- monary function of Group A patients have made significant improvement after exercises（P〈0.05）; there were no significant dif- ference between the VC and VC% of Group B patients before and after exercises （P〉0.05）; compared with the Group B,the improvement of VC and VC% of the patients in Group A were better （P〈0.05）. Conclusion The efficiency of pulmonary functional exercises of Group A was better than Group B.

关 键 词：脊柱侧凸 呼吸功能试验 呼吸锻炼 牵引术 

分 类 号：R473.6[医药卫生—护理学]