围术期干预联合穴位刺激对自发性气胸电视辅助胸腔镜手术患者术后康复的影响  

Effects of perioperative intervention combined with acupoint stimulation on postoperative rehabilitation of video-assisted thoracoscopic surgery for primary spontaneous pneumothorax

作　　者：辛艳君[1] 李媛[1] 张惠[1] XIN Yanjun;LI Yuan;ZHANG Hui(Department of Thoracic Surgery,Xinjiang Uygur Autonomous Region People’s Hospital,Xinjiang,Urumqi 830000,China)

机构地区：[1]新疆维吾尔自治区人民医院胸外科,乌鲁木齐市830000

出　　处：《河北医药》2022年第20期3100-3102,3106,共4页Hebei Medical Journal

基　　金：新疆维吾尔自治区人民医院院内项目(编号:20200414)。

摘　　要：目的探究围术期干预联合穴位刺激干预对自发性气胸电视辅助胸腔镜手术患者术后康复的影响。方法选择2018年10月至2020年10月就诊的96例自发性气胸患者作为研究对象,将其按数表法随机分为对照组与观察组,每组48例。所有患者采用电视辅助胸腔镜手术治疗,给予对照组围术期干预,观察组则在围术期干预的基础上添加穴位刺激干预,对2组患者的康复进程、并发症发生情况及肺功能、降钙素原(PCT)的改善情况进行比较。结果观察组的胃肠道功能恢复时间、机械通气时间、胸腔引流时间、疼痛持续时间、住院天数均短于对照组(t=2.828、t=3.169、t=2.759、t=3.420、t=3.200,P<0.05);观察组的并发症发生率低于对照组(χ^(2)=4.019,P<0.05);护理5 d后,观察组的最大通气量(MVV)、血氧饱和度(SPO_(2))均高于对照组(t=2.901、t=2.784,P<0.05),该组的降钙素原(PCT)低于对照组(t=3.361,P<0.05)。结论围术期干预联合穴位刺激干预可促进自发性气胸电视辅助胸腔镜手术患者的术后康复进程,减少并发症的发生,并改善机体的肺功能与炎性反应。Objective To explore the effects of perioperative intervention combined with acupoint stimulation on postoperative rehabilitation of video-assisted thoracoscopic surgery(VATS)for primary spontaneous pneumothorax(PSP).Methods Totally 96 PSP patients were selected as research subjects from October 2018 to October 2020,and the patients were randomly divided into the control group and observation group with 48 cases in each group based on the number table method.All the patients were managed with VATS,the observation group were additionally received acupoint stimulation on the basis of perioperative intervention.The key observation was intergroup rehabilitation process,complications,pulmonary functions,procalcitonin(PCT).Results The gastrointestinal function recovery time,mechanical ventilation time,thoracic drainage time,pain duration,and hospitalization time in the observation group were shorter than those in the control group(t=2.828,t=3.169,t=2.759,t=3.420,t=3.200,P<0.05).The complications were lower in the observation group than the control group(χ^(2)=4.019,P<0.05).The maximum voluntary ventilation(MVV)and blood oxygen saturation(SPO2)in the observation group on days 5 of nursing were higher than those in the control group(t=2.901,t=2.784,P<0.05),PCT was lower in the observation group than the control group(t=3.361,P<0.05).Conclusion In VATS for PSP,perioperative intervention combined with acupoint stimulation supports promoting the postoperative recovery process,reducing the complications,and improving the physical pulmonary function and inflammatory response.

关 键 词：围术期干预 穴位刺激干预 自发性气胸 电视辅助胸腔镜 康复 

分 类 号：R561.4[医药卫生—呼吸系统]