术前呼吸功能训练对老年房颤杂交术患者术后肺功能恢复及预后的影响分析  

Effect of preoperative respiratory function training on postoperative pulmonary function recovery and prognosis in elderly patients with atrial fibrillation

作　　者：吴晓兰[1] 付亮[1] 秦呈婷[1] WU Xiao-lan;FU Liang;QIN Cheng-ting(Department of Cardiovascular Surgery,6th People's Hospital,Shanghai 200233,China)

机构地区：[1]上海市第六人民医院心血管外科,上海200233

出　　处：《中国医学前沿杂志（电子版）》2018年第10期41-44,共4页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

基　　金：上海市第六人民医院院级科学研究基金(院内-2044)

摘　　要：目的探究术前呼吸功能训练对老年心房颤动(简称房颤)杂交术患者术后肺功能恢复及预后的影响,为临床应用提供参考依据。方法选取2017年4月至2018年3月本院收治的44例行房颤杂交术的老年患者为研究对象,根据随机数表法将入选患者分为研究组与对照组,每组各22例。对照组患者给予常规术前准备,研究组患者在对照组基础上接受呼吸功能训练,术后评估两组患者的呼吸功能,并比较两组患者术后肺部并发症发生情况。结果术前两组患者第一秒用力呼气量(forced expiratory volume in first second,FEV_1)占预计值百分比(FEV_1%预计值)、肺活量(vital capacity,VC)占预计值百分比(VC%预计值)、用力肺活量(forced vital capacity,FVC)占预计值百分比(FVC%预计值)、氧分压(PO_2)及二氧化碳分压(PCO_2)比较均无显著差异(P_均>0.05)。术后第3天和第7天,研究组患者的FEV_1%预计值、VC%预计值、FVC%预计值及PO_2均显著高于对照组(P_均<0.05),PCO_2组间比较均无显著差异(P_均>0.05)。研究组患者术后肺部并发症发生率显著低于对照组(P<0.05)。结论术前呼吸功能训练可显著促进老年房颤杂交术患者术后肺功能恢复,降低术后肺部并发症发生率,改善患者预后。Objective To explore the effect of preoperative respiratory function training on postoperative pulmonary function recovery and prognosis in elderly patients with atrial fibrillation,and provide reference for clinical application.Method From April 2017 to March 2017,44 elderly patients underwent atrial fibrillation hybridization were selected as the subjects.According to the random number table method,the enrolled patients were divided into study group and control group,22 cases in each group.Patients in control group were given routine preoperative preparation.Patients in study group received respiratory function training on the basis of control group.The respiratory function of the two groups were evaluated postoperatively,and the postoperative pulmonary complications were compared between the two groups.Result Preoperatively,there were no siginificant differences in forced expiratory volume in first second(FEV1)as a percentage of the predicted value(FEV1%predicted value),vital capacity as a percentage of the predicted value(VC%predicted value),forced vital capacity(FVC%)as a percentage of the predicted value(FVC%predicted value),PO2 and PCO2 between the two groups(Pall>0.05).On the 3rd and 7th day after operation,the FEV1%predicted value,VC%predicted value,FVC%predicted value and PO2 of study group were significantly higher than those of control group(Pall<0.05),and there was no significant difference of PCO2 between the groups(Pall>0.05).The incidence of postoperative pulmonary complications of study group was significantly lower than that of control group(P<0.05).Conclusion Preoperative respiratory function training can significantly promote postoperative pulmonary function recovery in elderly patients with atrial fibrillation,reduce the incidence of postoperative pulmonary complications and improve the prognosis of patients.

关 键 词：术前呼吸功能训练 房颤杂交术 肺功能 预后 

分 类 号：R654.2[医药卫生—外科学]