呼吸及上肢功能训练对胸腔镜下行单肺叶切除术患者肺功能的影响  

Effect of respiratory and upper limb function training on pulmonary function of patients undergoing thoracoscopic single lobectomy

作　　者：孔珍 殷瑛 高岩[1] KONG Zhen;YIN Ying;GAO Yan(Department of Thoracic Surgery,The Affiliated Brain Hospital of Nanjing Medical University,Nanjing,Jiangsu,210029,China)

机构地区：[1]南京医科大学医学院附属脑科医院胸外科,江苏南京210029

出　　处：《中西医结合护理（中英文）》2022年第10期29-32,共4页Journal of Clinical Nursing in Practice

摘　　要：目的 探讨呼吸及上肢功能训练对在胸腔镜下行单肺叶切除术患者肺功能的影响。方法 选取2020年11月至2022年3月于南京医科大学医学院附属脑科医院治疗的92例患者作为研究对象,按随机数字表法将其分配至对照组和观察组,各46例。对照组患者给予常规护理联合术后呼吸及上肢功能训练,观察组患者在对照组干预方案的基础上给予术前呼吸及上肢功能训练。比较2组患者的第1秒用力呼气容积与用力肺活量的比值(FEV_(1)/FVC)、最大自主通气量(MVV)、呼吸频率、肩关节活动度、不良事件发生情况和生活质量综合评估问卷(GQOL-74)评分。结果 干预后,2组的FEV_(1)/FVC和MVV均高于干预前,呼吸频率均低于干预前(P均<0.05),且观察组均优于对照组(P均<0.05)。干预后,2组的外展、后伸和外旋角度均较干预前增大(P均<0.05),且观察组均大于对照组(P均<0.05)。观察组的不良事件总发生率低于对照组(P<0.05)。干预后,2组的角色职能等维度评分均高于干预前(P均<0.05),且观察组均高于对照组(P均<0.05)。结论 对在胸腔镜下行肺叶切除术治疗的患者实施术前、术后呼吸及上肢功能训练,可改善其肺功能指标、肩关节活动度和生活质量,减少并发症的发生。Objective To investigate the effect of respiratory and upper limb function training on the pulmonary function of patients undergoing thoracoscopic single lobectomy.Methods From November 2020 to March 2022,92 patients who were admitted to the Affiliated Brain Hospital of Nanjing Medical University were selected as the study subjects.They were assigned to the control group and the observation group by random number table method,each with 46 patients.The patients in the control group were given routine nursing combined with postoperative respiratory and upper limb function training,while the patients in the observation group were given preoperative respiratory and upper limb function training in addition to the intervention scheme of the control group.The forced expiratory volume in 1 second/forced vital capacity(FEV1/FVC),maximal voluntary ventilation(MVV),respiratory rate,shoulder range of motion,adverse events,and the Generic Quality of Life Inventory-74(GQOL-74)scores were compared between the two groups.Results After the intervention,the FEV1/FVC and MVV in both groups were higher than those before the intervention,and the respiratory rate was lower than that before the intervention(all P<0.05).The parameters in the observation group were better than those in the control group(all P<0.05).After the intervention,the angles of abduction,extension,and external rotation in both groups were greater than those before the intervention(all P<0.05),and the angles in the observation group were greater than those in the control group(all P<0.05).The total incidence of adverse events in the observation group was lower than that in the control group(P<0.05).After the intervention,the scores of role function and other dimensions in both groups were higher than those before the intervention(all P<0.05),and the scores in the observation group were higher than those in the control group(all P<0.05).Conclusion Preoperative and postoperative respiratory and upper limb function training can improve the pulmonary function,shoulder

关 键 词：胸腔镜单肺叶切除术 呼吸功能训练 上肢功能训练 肺功能 

分 类 号：R473.6[医药卫生—护理学]