不同呼吸训练方式对骨科高龄卧床患者预防肺部并发症效果观察  

Effect observation of different respiratory training way for orthopaedic patients-bed to prevent pulmonary complications

作　　者：徐连芳[1] 黄丽芳[1] 陈润芳[1] 萧佩多[1] 

机构地区：[1]广东医学院附属石龙博爱医院中医骨伤科,广东东莞523320

出　　处：《中国当代医药》2013年第9期42-43,共2页China Modern Medicine

摘　　要：目的比较不同呼吸训练方式对骨科高龄卧床患者预防肺部并发症的效果,探索一种简单、安全、有效的呼吸训练方法。方法选择骨科高龄卧床患者126例,随机分为对照组与观察组,观察组63例,对照组63例。对照组采用常规呼吸功能训练方式:缩唇呼吸、有效咳嗽训练及口头交待深呼吸。观察组采用吹气球训练,比较分析两组患者肺功能及并发症情况。结果两组患者训练前、后肺功能情况、肺部并发症发生情况比较、接受训练后的自我评价比较,差异均具有统计学意义(P<0.05)。结论吹气球呼吸功能训练可有效改善患者肺功能,清理呼吸道分泌物,预防骨科高龄卧床患者肺部并发症的发生。Objective To compare the effect of different respiratory training methods on preventing the orthopedic ad- vanced patients lying in bed from pulmonary complications, and try to find out a simple, safe and effective ways of breath training. Methods One hundred and twenty-six orthopedic advanced patients lying in bed were randomly divid- ed into control group and observation group with 63 cases in each group. The control group was given conventional respiratory training methods including pursed lip breathing, valid cough exercises and deep breath by oral. In the mean time, the observation group was given training of blowing up the balloon. Complications and pulmonary function between two groups were compared. Results Pulmonary function and pulmonary complications pre and post training in patients and self-assessment after training were compared, and there was significant difference （P 〈 0.05）. Conclusion The training of blowing up the balloon can effectively improve pulmonary function, clean airway secretion effectively, and prevent pulmonary infections for the sake of long-term bedridden.

关 键 词：呼吸训练 骨科 高龄 肺部并发症 

分 类 号：R68[医药卫生—骨科学]