术前束腹胸式呼吸训练对腹部手术老年患者肺功能影响的临床研究  

Effect of preoperative abdomen-bound thoracic breathing exercise on pulmonary function in elderly patients previous to abdominal operations

作　　者：李红梅[1] 张红英[1] 刑再利[1] 涂玉亮[1] 

机构地区：[1]解放军总医院第一附属医院肝胆外科,北京100084

出　　处：《感染．炎症．修复》2010年第1期52-53,共2页Infection Inflammation Repair

摘　　要：目的:探讨术前束腹胸式呼吸训练对腹部手术老年患者术前肺功能的影响。方法:2008年1月-2009年5月在我院行腹部手术的老年患者56例,术前用腹带束腹,模拟术后高腹压状态,并行1周束腹胸式呼吸训练,于束腹胸式呼吸训练前、训练第1天和训练第7天检测患者最大深吸气量实测值与预计值比值(IC%)、第1秒钟用力呼气量实测值与预计值比值(FEVl%)和1秒率(FEVl.0/FVC)等肺功能指标的变化。结果:与束腹胸式呼吸训练前比较,训练第1天上述3项指标均显著下降(P<0.01),训练第7天则明显回升,与训练第1天比较差异有显著性(P<0.01),而与训练前比较差异无显著性(P>0.05)。结论:术前束腹胸式呼吸训练能显著改善老年患者模拟术后高腹压状态下的肺功能。Objective： To investigate the effect of preoperative abdomen-bound thoracic breathing exercise on pulmonary function in elderly patients prepared for abdominal operations. Methods： Fifty-six elderly patients admitted from January to May 2008 were included in this study. An abdominal bandage was used to bind the patient＇s abdomen to simulate the postoperative high intra-abdominal pressure. Abdomen-bound thoracic breathing exercise was performed for one week, and the indexes of pulmonary functions such as the rate of measured to predict value of inspiratory capacity （IC%）, the rate of measured to predict value of forced expiratory volume in one second to forced vital capacity ratio （FEV1.0 %）, and forced expiratory volume in one second to forced vital capacity ratio / forced vital cptacity （FEV1.0/FVC） were measured before the exercise and on the 1st and 7th day of exercise respectively. Results： IC%, FEV1.0 and FEV1. 0/FVC decreased on the 7th day of exercise（P〈0.01）, but the difference was not significant compared with the level of those before exercise on the 7th day of exercise （P〉 0. 05）. Conclusion.. Preoperative abdomen-bound thoracic breathing exercise can improve pulmonary function, simulating the condition of postoperative high abdominal pressure.

关 键 词：束腹 呼吸训练 肺功能 

分 类 号：R734.2[医药卫生—肿瘤]