主动呼吸循环技术对脑卒中去骨瓣减压术后患者呼吸功能的影响  

Effect of active respiratory circulation technique on respiratory function in stroke patients after decompressive craniectomy

作　　者：黄凤 黎梦笋 罗婷 HUANG Feng;LI Mengsun;LUO Ting(The First Hospital of Jiaxing,Zhejiang 314000,China.)

机构地区：[1]浙江省嘉兴市第一医院,嘉兴314000

出　　处：《浙江创伤外科》2024年第10期1813-1815,1818,共4页Zhejiang Journal of Traumatic Surgery

基　　金：浙江省2022年嘉兴市公益性研究计划(2022AD30047)。

摘　　要：目的探讨主动呼吸循环技术对脑卒中患者去骨瓣减压术后呼吸功能的影响。方法选择2022年1月至2023年12月本院接诊的74例接受去骨瓣减压术的脑卒中患者,按照随机数表法分为观察组、对照组,各37例。对照组采用常规治疗,观察组在对照组基础上,联合主动呼吸循环技术治疗,均持续治疗4周。比较两组治疗前后动脉二氧化碳分压(PaCO_(2))、动脉血氧分压(PaO_(2))、血氧饱和度(SaO_(2))、用力肺活量(FVC)、呼气峰流速(PEF)、每分钟最大通气量(MVV)及并发症发生率。结果治疗后,观察组PaCO_(2)为(45.11±5.83)mmHg,低于对照组(50.28±6.12)mmHg,PaO_(2)、SaO_(2)分别为(64.30±7.68)mmHg、(98.82±0.61)%,高于对照组的(57.21±6.35)mmHg、(97.46±0.79)%,有统计学意义(P<0.05);治疗后,观察组FVC、PEF、MVV分别为(2.45±0.27)L、(335.60±31.37)L/min、(91.37±6.03)L/min,均高于对照组(2.20±0.23)L、(306.81±34.15)L/min、(83.26±6.71)L/min,差异有统计学意义(P<0.05);治疗期间,观察组肺部感染总发生率为2.70%,低于对照组的16.22%,有统计学意义(P<0.05);观察组并发症总发生率为5.41%,低于对照组21.62%(P<0.05)。结论主动呼吸循环技术在脑卒中患者去骨瓣减压术后应用效果明显,可改善患者呼吸功能。Objective To study the effect of active respiratory circulation technique on respiratory function in stroke patients after decompressive craniectomy.Methods A total of 74 stroke patients admitted to our hospital from January 2022 to December 2023 who underwent decompressive craniectomy were divided into observation group and control group according to random number table method,with 37 cases in each group.The control group received conventional treatment,and the observation group was combined with active breathing and circulation technology on the basis of the control group,and the treatment lasted for 4 weeks.The changes of the arterial partial pressure of carbon dioxide(PaCO_(2)),arterial partial pressure of oxygen(PaO_(2)),blood oxygen saturation(SaO_(2)),forced vital capacity(FVC),peak expiratory flow rate(PEF),maximum volume per minute(MVV)at before and after treatment and complication rate were compared between the two groups.Results After treatment,the PaCO_(2)in the observation group was(45.11±5.83)mmHg,which were lower than that in the control group(50.28±6.12)mmHg,the PaO_(2)and SaO_(2)were(64.30±7.68)mmHg and(98.82±0.61)%,which were higher than those in the control group(57.21±6.35)mmHg,(97.46±0.79)%,with statistical significance(P<0.05).After treatment,the FVC,PEF and MVV in observation group were(2.45±0.27)L,(335.60±31.37)L/min and(91.37±6.03)L/min,which were higher than those in the control group(2.20±0.23)L,(306.81±34.15)L/min and(83.26±6.71)L/min,with statistical significance(P<0.05).During treatment,the total incidence of pulmonary infection in the observation group was 2.70%,which lower than that in the control group(16.22%),with statistical significance(P<0.05).The total complication rate of observation group was 5.41%,which was lower than the control group 21.62%(P<0.05).Conclusion Active respiratory circulation technique is effective in patients with stroke after decompressive craniotomy and can improve their respiratory function.

关 键 词：脑卒中 去骨瓣减压术 主动呼吸循环技术 呼吸功能 血气分析 肺功能 

分 类 号：R651.1[医药卫生—外科学]