青少年脊柱侧凸患者术前应用综合呼吸操的效果观察  

Clinical Observation of Integrated Breathing Exercise in Adolescent Patients with Scoliosis Preoperation

作　　者：刘晓艳[1] 刘世林[2] 向方会[1] 

机构地区：[1]四川大学华西医院骨科,四川成都610041 [2]四川大学华西第二医院药剂科,四川成都610041

出　　处：《华西医学》2009年第7期1870-1872,共3页West China Medical Journal

摘　　要：目的:观察在青少年脊柱侧凸患者中术前实施综合性呼吸操锻炼的临床效果方法:选取46例伴有不同程度肺功能障碍的青少年脊柱侧弯患者作为研究对象,对其自入院后第一天即开始实施综合性呼吸操锻炼,观察术前肺功能的变化情况及术后肺部并发症的发生情况。结果:锻炼后患者肺活量(VC)、肺容量(TLC)、用力肺活量(FVC)、最大通气量(MVV),等肺功能指标较锻炼前有明显改善,差异具有统计学意义(P<0.05);术后血氧饱和度>95%;无肺部并发症发生。结论:入院后即进行综合性呼吸操锻炼能在近期有效改善患者肺功能,提高患者对脊柱矫形手术的耐受力,对预防和减少术后肺部感染以及呼吸功能不全的发生有积极作用。Objective： To observe the clinical efficacy of integrated breathing exercise in adolescent patients with scoliosis. Methods： Forty-six adolescent patients with scoliosis accompanied with pulmonary disorder in various degrees were chosen as objects of study, and were instructed to do integrated breathing exercise on admission. The pulmonary function change was recorded and compared before and after. Results： Pulmonary function parameters like patients＇ vital capacity, lung volume, forced vital capacity and maximal ventilation volume improve after the application of integrated breathing exercise, the difference was significant （P〈0.05）. SPO2 was higher than 95% in all patients after operation. Conclusion, Application of integrated breathing exercise in adolescent patients with scoliosis on admission can help to improve patients＇ pulmonary function in short term and improve patients＇ tolerance for operation, and have positive effect on prevention of pulmonary function and respiratory insufficiency.

关 键 词：青少年 脊柱侧弯 综合性呼吸操 肺功能 

分 类 号：R473.6[医药卫生—护理学]