呼吸电刺激训练对肺叶切除术后患者心肺功能的影响  

Effect of electrical stimulation breath training on cardio-pulmonary function of patients following pulmonary lobectomy

作　　者：陈艺[1,2] 李新平[3] 白利明[3] 曾斌[3] 何绍冲 刘亚康[3] 张鸣生[3] 

机构地区：[1]南方医科大学,广州市510515 [2]广东省人民医院 [3]广东省人民医院、广东省医学科学院广东省老年医学研究所,510080

出　　处：《实用医学杂志》2014年第10期1556-1558,共3页The Journal of Practical Medicine

基　　金：广东省科技计划项目(编号:2010B031600164);广州市科技计划项目(编号:2012J4300083)

摘　　要：目的:探讨呼吸电刺激训练对肺叶切除术后患者心肺功能的影响。方法:选择肺叶切除术后患者62例,随机分为试验组30例和对照组32例。试验组给予呼吸电刺激训练,训练强度为20 min/次,3次/周,共4周;对照组进行术后常规护理。两组分别在试验前后进行心肺功能评定,评估内容包括:6MWD、FVC和FEV1、W、AT、VO2max/kg。结果:训练4周后,两组的6MWD、W、FVC、FEV1均较基线值有改善,差异有统计学意义(P<0.05)。但与对照组比较,试验组的6MWD、W、FVC、FEV1改善程度更显著(P<0.05)。试验组的AT及VO2max/kg值较基线值均有提高(P<0.05),而试验组的改善程度较对照组显著(P<0.05)。结论:呼吸电刺激训练可以改善肺叶切除术后患者心肺功能。Objective To study the effect of electrical stimulation breath training on lung function of patients following pulmonary lobectomy. Methods 62 patients following pulmonary lobectomy were randomly allocated into experimental group（n =30）and control group（n =32）. The experimental group received a 4-week supervised electrical stimulation breath training program using an electric stimulus feedback trainer（20mins per time, 3 times per week）;The control group received postoperative routine nursing. Cadiopulmonary function evaluation of 2 groups were tested before and after the experiment. The evaluation included the 6-min walking test（6MWD）, FVC, FEV1,W,AT and VO2max / kg. Results After 4 week training, the value of 6MWD,W,FVC,FEV1 all improved, compared to the baseline value（P 〈 0.05） and the value of 6MWD,W,FVC,FEV1 were more obvious in experimental group, compared to control group（P〈0.05）. The AT value and the VO2max / kg value increased than the baseline value（P 〈 0.05）and the improvement degree was more remarkable in experimental group than that in control group（P 〈 0.05）. Conclusion Electrical stimulation breath training can improve cardiopulmonary function of the patients following pulmonary lobectomy.

关 键 词：肺叶切除术 电刺激 呼吸训练 心肺功能 

分 类 号：R655.3[医药卫生—外科学]