系统性呼吸训练在行胸腔镜下肺叶切除术患者围术期中的应用效果  

Application of perioperative systematic respiratory training in patients with thoracoscopic lobectomy

作　　者：张梅[1] 陈淑娜[1] 田道静[1] 雷加英 赵艳[1] ZHANG Mei;CHEN Shuna;TIAN Daojing;LEI Jiaying;ZHAO Yan(Department of Thoracic Surgery, General Hospital of Ji′nan Military Region, Ji′nan, Shandong, 250031)

机构地区：[1]济南军区总医院胸外科,山东济南250031

出　　处：《实用临床医药杂志》2018年第23期29-32,共4页Journal of Clinical Medicine in Practice

摘　　要：目的探讨系统性呼吸训练在行胸腔镜下肺叶切除术患者围术期中的应用及对呼吸功能的影响。方法选取140例行胸腔镜下肺叶切除术患者,参照随机数表法分成2组。对照组70例患者采用常规护理干预,研究组70例患者采用系统性呼吸训练。对比2组患者训练后并发症及训练前后肺功能情况。结果研究组的并发症发生率10. 0%(7/70)显著低于对照组的35. 7%(25/70)(P <0. 05)。训练后,2组患者的最大通气量水平均显著高于训练前,且研究组显著高于对照组(P <0. 05);训练后,2组患者的呼吸频率均显著低于训练前,且研究组显著低于对照组(P <0. 05)。结论系统性呼吸训练在行胸腔镜下肺叶切除术患者围术期中的应用效果显著,能有效减少并发症的发生,改善患者呼吸功能与肺功能。Objective To study application of perioperative systemic respiratory training for patients with thoracoscopic lobectomy and its influence on respiratory function.Methods A total of140patients undergoing thoracoscopic lobectomy in our hospital were divided into two groups according to random number table method.The control group was given routine nursing intervention,while the study group(70cases)received systematic breathing training.The complication and pulmonary function before and after training were observed and compared between the two groups.Results The incidence of complication in the study group was significantly lower than that in control group[10.0%(7/70)vs.35.7%(25/70),P<0.05].The maximal voluntary ventilation of two groups were higher than training before,and the study group was higher than the control group(P<0.05).The respiratory rates of the two groups after training were lower than training before,and the study group was lower than the control group(P<0.05).Conclusion Systematic respiratory training in perioperation has significant efficacy for patients undergoing thoracoscopic lobectomy.It can effectively reduce complications,improve respiratory function,and improve pulmonary function.

关 键 词：系统性呼吸训练 胸腔镜下肺叶切除术 围术期 呼吸功能 

分 类 号：R563[医药卫生—呼吸系统]