呼吸功能训练对重症监护室肺癌术后患者呼吸功能及肺部感染发生率的影响  

Effect of respiratory function training on respiratory function and incidence of lung infection in patients after lung cancer surgery in intensive care unit

作　　者：许海阳[1] 谢敏飞 屈文燕[1] 王瑞英 龚柳阳[2] XU Haiyang;XIE Minfei;QU Wenyan;WANG Ruiying;GONG Liuyang(Department of Critical Care Medicine,Taizhou Hospital of Zhejiang Provinceaffiliated to Wenzhou Medical University,Linhai317000,China;Department of Respiratory Medicine,Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University,Linhai317000,China)

机构地区：[1]浙江省台州医院重症医学科,浙江临海317000 [2]浙江省台州医院呼吸科,浙江临海317000

出　　处：《中国现代医生》2022年第10期103-106,146,共5页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2020KY355)。

摘　　要：目的探讨呼吸功能训练对重症监护室肺癌术后患者呼吸功能及肺部感染发生率的影响。方法选取浙江省台州医院于2019年1月至2020年1月收治的肺癌术后患者89例为研究对象,采用随机数字表法对其实施分组,分为对照组46例与试验组43例。对照组患者给予常规康复训练,试验组患者在对照组基础上给予呼吸功能训练。观察并比较两组干预前后的FVC(用力深呼吸肺活量)、FEV_(1)(第1秒用力呼气容积)、FEV_(1)/FVC比值等肺功能指标与生存质量情况以及两组患者干预后肺部感染的发生情况。结果干预前,两组患者的FVC、FEV_(1)以及FEV_(1)/FVC比较,差异无统计学意义(P>0.05),组内干预前后比较,FVC、FEV_(1)以及FEV_(1)/FVC均高于组内干预前,差异均有统计学意义(P<0.05);干预后,试验组患者的FVC、FEV_(1)以及FEV_(1)/FVC均高于对照组患者,差异均有统计学意义(P<0.05)。干预前,两组患者的生理功能、精神健康、情感职能、生理职能、躯体疼痛、社会功能、活力以及总体健康各维度评分,差异无统计学意义(P>0.05),干预前后组内比较,各维度评分均较干预前有所升高,差异均有统计学意义(P<0.05);干预后,试验组患者的各维度评分均高于对照组,差异均有统计学意义(P<0.05)。干预后,试验组患者肺部感染发生率(2.33%)明显低于对照组(15.22%),差异有统计学意义(χ^(2)=4.515,P=0.034)。结论重症监护室肺癌术后患者给予呼吸功能训练,可有效改善患者的呼吸功能,并降低患者的肺部感染发生率。Objective To explore the effect of respiratory function training on the respiratory function and the incidence of lung infection in patients after lung cancer surgery in the intensive care unit. Methods A total of 89 patients admitted to Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, from January 2019 to January 2020 after lung cancer surgery were selected. They were divided into the control grou(n=46) and the experimental group(n=43) using random number table method. The control group were given routine rehabilitation training, and the experimental group were given respiratory function training plus routine rehabilitation. The lung function indicators such as FVC(forced deep breathing vital capacity), FEV_(1)(forced expiratory volume in the first second), FEV_(1)/FVC ratio, quality of life, and incidence of lung infections before and after intervention were observed and compared between the two groups. Results Before intervention, there were no significant differences in FVC, FEV_(1), and FEV_(1)/FVC between the two groups(P>0.05). The FVC, FEV_(1), and FEV_(1)/FVC after intervention were higher than those before intervention in both groups, with statistically significant differences(P<0.05). After the intervention, the FVC, FEV_(1)and FEV_(1)/FVC in the experimental group were higher than those in the control group, with statistically significant differences(P<0.05). Before intervention, there were no significant differences in scores of physical function, mental health,emotional function, physiological function, physical pain, social function, vitality, and overall health between the two groups(P>0.05). The scores of all dimensions were increased after intervention in both groups, with statistically significant differences(P<0.05). After intervention, the scores of all dimensions in the experimental group were higher than those in the control group, with statistically significant differences(P<0.05). After intervention, the incidence of lung infection in the experimental group(

关 键 词：肺癌术后 呼吸功能训练 肺部感染 康复医学 

分 类 号：R734.2[医药卫生—肿瘤]