术前气管推移训练联合术后徒手呼吸功能训练对颈椎前路手术患者术后吞咽功能和肺功能的影响  

Effect of preoperative tracheal traction exercise combined with postoperative manual respiratory function training on postoperative swallowing function and pulmonary function in patients undergoing anterior cervical surgery

作　　者：张立杰[1] 关敏霞 唐玲娟[1] 吴巧红[1] ZHANG Li-jie;GUAN Min-xia;TANG Ling-juan;WU Qiao-hong(Department of Orthopedics,the 923th Hospital of the Chinese People's Liberation Army,Nanning 530021,China)

机构地区：[1]中国人民解放军第九二三医院骨科,广西南宁市530021

出　　处：《广西医学》2021年第23期2814-2817,共4页Guangxi Medical Journal

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z20180571)。

摘　　要：目的探讨术前气管推移训练联合术后徒手呼吸功能训练对颈椎前路手术患者术后吞咽功能和肺功能的影响。方法将90例进行颈椎前路手术的患者随机分为观察组与对照组,各45例。对照组患者应用术前气管推移训练联合术后常规呼吸吞咽功能训练,观察组患者应用术前气管推移训练联合术后徒手呼吸功能训练。比较两组患者治疗前后的吞咽功能与肺功能指标[用力肺活量(FVC)、1秒最大呼气量(FEV_(1))、每分钟最大通气量(MVV)],并比较两组患者的训练效果。结果术后训练7 d后,观察组患者洼田饮水试验等级优于对照组,训练效果亦优于对照组(均P<0.05)。术后训练后5 d、7 d时,观察组的FVC、FEV_(1)及MVV均高于对照组(均P<0.05)。结论相较于术前气管推移训练联合术后常规呼吸吞咽功能训练,术前气管推移训练联合术后徒手呼吸功能训练更能显著地改善颈椎前路手术患者术后吞咽功能与肺功能,促进患者康复。Objective To investigate the effect of preoperative tracheal traction exercise combined with postoperative manual respiratory function training on postoperative swallowing function and pulmonary function in patients undergoing anterior cervical surgery.Methods Ninety patients undergoing anterior cervical surgery were randomly divided into observation group and control group, with 45 cases in each group. Patients in the control group received preoperative tracheal traction exercise combined with postoperative routine respiratory and swallowing functions training, while patients in the observation group received preoperative tracheal traction exercise combined with postoperative manual respiratory function training. The swallowing function and pulmonary function indexes(forced vital capacity[FVC], forced expiratory volume in one second[FEV_(1)], maximum voluntary ventilation at one minute[MVV]) were compared between the two groups before and after the treatment, and the training effects of the two groups were compared.Results After seven days of postoperative training, the observation group was superior to the control group in the level of Kubota′s drinking water test and the training effect(all P<0.05). Five and seven days after postoperative training, FVC, FEV_(1), and MVV in the observation group were higher than those in the control group(all P<0.05).Conclusion Compared with preoperative tracheal traction exercise combined with postoperative routine respiratory and swallowing functions training, preoperative tracheal traction exercise combined with postoperative manual respiratory function training can improve the postoperative swallowing function and pulmonary function more significantly and promote the recovery in patients undergoing anterior cervical surgery.

关 键 词：颈椎前路手术 徒手呼吸功能训练 气管推移训练 吞咽功能 肺功能 

分 类 号：R681.531[医药卫生—骨科学]