呼吸训练对脑出血微创术后患者肺功能及日常生活自理能力的影响分析  

Effect of Respiratory Training on Pulmonary Function and Self-care Ability of Daily Living Patients with Intracerebral Hemorrhage after Minimally Invasive Surgery

作　　者：黄庆年 罗志雄 HUANG Qing-nian;LUO Zhi-xiong(Critical care medicine,Dalingshan Hospital of Dongguan,Dongguan 523820,China)

机构地区：[1]东莞市大岭山医院重症医学科

出　　处：《吉林医学》2019年第8期1715-1718,共4页Jilin Medical Journal

基　　金：东莞市社会科技发展项目[项目编号:201650715001042]

摘　　要：目的:呼吸训练对脑出血微创术后患者肺功能及日常生活自理能力的影响研究。方法:选取高血压脑出血微创术后(定向软通道)患者作为研究对象,将患者随机分为常规治疗组(30例)和呼吸训练组(30例),常规治疗组采用普通在院西医治疗和常规肢体训练,呼吸训练组采用常规治疗组后增加呼吸训练,观察比较康复治疗4周后两组患者肺功能、肺部并发症、日常生活自理能力的情况,主要观察指标包括:肺活量(FVC)、第1秒用力呼气容积(FEV1)、动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)、Fugl-Meyer评定量表、Berg平衡量表、改良Barthel指数量表。结果:术后康复治疗4周后,与常规治疗组相比,呼吸训练组FVC、FEV1、PaO2提高,PaCO2降低,差异有统计学意义(P<0.05);呼吸训练组并发症发生率为10.0%,常规治疗组并发症发生率为33.3%,差异有统计学意义(P<0.05);呼吸训练组与常规治疗组FMA、BBS评分比较,差异无统计学意义(P>0.05),MBI评分比较,差异有统计学意义(P<0.05)。结论:高血压脑出血微创术后(定向软通道)患者可通过呼吸训练改善肺功能,减少肺部并发症,提高患者生活自理能力。Objective Effect of Respiratory Training on Pulmonary Function and Daily Living Ability of Patients with Intracerebral Hemorrhage after Minimally Invasive Surgery. Method The patients were selected as the study subjects after minimally invasive surgery for hypertensive intracerebral hemorrhage (directional soft channel).Patients were randomly divided into conventional treatment groups (30 cases) and Respiratory training group (30 cases),conventional treatment group were ordinary in hospital western medicine treatment and routine limb training,breathing training group was in the conventional treatment group,and breathing training was increased.After 4 weeks of rehabilitation treatment,lung function and lungs were complicated in both groups.Symptoms,self-care ability in daily living,the main observation indicators include:vital capacity (FVC),1 second forced expiratory volume (FEV 1),arterial partial pressure of oxygen (PaO 2),arterial carbon dioxide partial pressure (PaCO 2),Fugl- Meyer Rating Scale,Berg Balance Scale,Modified Barthel Index Sheet. Results After 4 weeks of postoperative rehabilitation,the FVC,FEV 1,PaO 2,and PaCO 2 of the respiratory training group were significantly higher than those of the conventional treatment group ( P <0.05),and the complication rate was 10.0% in the respiratory training group.The incidence of complications in the conventional treatment group was 33.3%,and the difference was statistically significant ( P <0.05).There was no significant difference in the FMA and BBS scores between the respiratory training group and the conventional treatment group( P >0.05).The MBI score was statistically significant ( P <0.05). Conclusion Patients with hypertensive intracerebral hemorrhage after minimally invasive surgery (directional soft channel) can improve lung function through breathing training,reduce lung complications,improve the ability of patients to self- care,and promote safe and effective breathing training methods have important clinical significance.

关 键 词：呼吸训练 脑出血 微创手术 肺功能 生活自理能力 

分 类 号：R473.6[医药卫生—护理学]