术前呼吸操训练对老年腹部手术患者肺功能及并发症的影响  

Effect of preoperative breathing exercise on lung function and complications in the elderly patients receiving abdominal operation

作　　者：董明 李大鹏 任承纲 

机构地区：[1]秦皇岛市第四医院北区外科护理部,河北省秦皇岛市066000 [2]秦皇岛市第四医院南区肿瘤内三科,河北省秦皇岛市066000 [3]秦皇岛市第四医院北区外科,河北省秦皇岛市066000

出　　处：《实用老年医学》2014年第8期697-699,共3页Practical Geriatrics

基　　金：秦皇岛市科技支撑计划项目(201302A121)

摘　　要：目的探讨术前呼吸操训练对老年腹部手术患者肺功能及并发症的影响。方法选取107例在本院进行腹部手术的老年患者作为研究对象,随机将其分为观察组(54例)和对照组(53例)。对照组患者采用常规腹部手术围手术期护理方法;观察组患者在常规腹部手术围手术期护理方法的基础上进行术前呼吸操训练。记录并比较2组患者术后血氧饱和度(SpO2)、肺部并发症和术后住院时间的差异。结果观察组患者术后SpO2值高于对照组,差异有统计学意义(P<0.05);观察组患者肺部感染发生率为3.70%,显著低于对照组的32.08%,差异有统计学意义(RR=0.71;P<0.05);观察组患者的术后平均住院时间为(12.7±1.5)d,低于对照组的(16.6±6.3)d,差异有统计学意义(P<0.05)。结论术前呼吸操训练能够改善老年腹部手术患者术后呼吸功能、降低肺部并发症风险和缩短术后住院时间。Objective To explore the effect of preoperative breathing exercise on lung function and complications in the elderly patients receiving abdominal operation. Methods 107 elderly patients receiving abdominal operation were enrolled and randomly assigned into the observation group （ n = 54） and control group （ n = 53 ）. All patients received routine peroperative nursing, while the patients in observation group received additional preoperative breathing exercise. The oxyhemoglobin saturation （SpO2 ）, lung complications and duration of hospital stay after operation were recorded and com- pared between two groups. Results The level of SpO2 in observation group was significantly higher than that in control group （P〈0. 05） ; The incidence of pneumonia in observation group was 3.70%, compared with 32.08% in control group （RR=0. 71 ; P〈0. 05） ; The duration of hospital stay after operation in observation group was （12.7±1.49） d, compared with （16. 6 ± 6. 26） d in control group （P〈 0. 05）. Conclusions Preoperative breathing exercise plays a role in improving lung function, reducing lung complications and shortening duration of hospital stay after operation in the elderly patients receiving abdominal operation.

关 键 词：呼吸操训练 老年人 腹部手术 肺功能 并发症 

分 类 号：R542.2[医药卫生—心血管疾病]