主动呼吸循环技术对肺癌术后患者呼吸系统并发症发生的影响  

Effect of active cycle of breathing techniques on respiratory complications in post-operative lung cancer patients

作　　者：钟就娣[1] 刘莉[1] 宋秀娟[1] 陈燕茹[1] 张俊娥[2] 覃惠英[3] 

机构地区：[1]中山大学附属肿瘤防治中心胸科,广东广州510060 [2]中山大学附属肿瘤防治中心护理部,广东广州510060 [3]中山大学护理学院,广东广州510080

出　　处：《现代临床护理》2016年第3期56-59,共4页Modern Clinical Nursing

基　　金：广东省公益研究与能力建设专项资金项目,编号为2014A020212112

摘　　要：目的探讨主动呼吸循环技术对降低肺癌术后患者呼吸系统并发症发生的作用。方法将2012年4月~2014年1月在本院胸科住院的100例行肺叶或肺段切除的非小细胞肺癌患者设为对照组,术前后行呼吸功能锻炼;将2014年2~12月在本胸科住院的100例行肺叶或肺段切除的非小细胞肺癌患者设为实验组,术前后应用主动呼吸循环技术,干预时间5 d。干预后观察两组患者呼吸系统并发症发生情况。结果实验组患者肺部感染、肺不张、低氧血症发生率均低于对照组,两组比较,差异均有统计学意义（P〈0.05）。结论应用主动呼吸循环技术可使肺癌术后患者呼吸肌群的耐力和力量得到增强,进而减少术后呼吸系统并发症的发生。Objective To evaluate the effects of active cycle of breathing techniques （ACBT） on respiratory complications of postoperative lung cancer patients. Methods One hundred non-small-cell lung cancer patients who underwent pulmonary lobectomy or segmentectomy in thoracic surgery department from April 2012 to January 2014 were assigned into the control group , while the experiment group were paired patients from February 2014 to December 2014. We applied ACBT to the experiment group for 5 days after surgical resection and afterward compared the two groups in view of incidence of respiratory complications . Result The incidences of pulmonary infection, atelectasis and hypoxemia in the experiment group were all significantly lower than those in control group （P〈0.05）. Conclusion ACBT strengthens endurance and force of patients′respiratory muscle group, and therefore reduces postoperative pulmonary complications.

关 键 词：非小细胞肺癌 肺部感染 肺不张 低氧血症 主动呼吸循环技术 

分 类 号：R473.73[医药卫生—护理学]