术前综合干预对开胸手术低肺功能患者肺功能改善作用的研究  

The improvement of lung function in patients with thoracic surgery by comprehensive preoperative intervention

作　　者：熊海科 袁继宝 庞瑶[1,2] 朱自江[1,2] 薛继军[2] 郑凤长[2] 赵海龙 朱小康[2] 李莹[2] 

机构地区：[1]甘肃中医学院临床医学院,甘肃兰州730000 [2]甘肃省肿瘤医院胸外二科,甘肃兰州730050

出　　处：《甘肃医药》2015年第3期165-168,共4页Gansu Medical Journal

摘　　要：目的:观察术前综合干预对开胸手术患者肺功能的改善作用。方法:选择2012年5月-2013年9月就诊于甘肃省肿瘤医院胸外科拟行开胸手术的低肺功能肺癌、食管癌及贲门癌患者60例,按照就诊顺序分为对照组和治疗组,对照组给予缩唇呼吸、深呼吸、阻力深呼吸训练治疗2周,治疗组在对照组的基础上给予氨茶碱、氨溴索、氧化雾化治疗2周。治疗前后分别进行肺功能检查及综合量化评价。结果:对照组治疗前后肺功能差异具有显著性的意义(P<0.05),治疗组治疗前后肺功能差异具有非常显著性的意义(P<0.01),治疗组与对照组治疗前肺功能差异无统计学意义、治疗后肺功能差异具有非常显著性的意义(P<0.01)。结论:对开胸手术患者实行术前肺功能综合干预,利于改善患者肺功能。Objective: Observe the improvement of lung function of preoperative comprehensive intervention split in pati ents with thoracic surgery.Methods:This study included 60 patients with lung cancer,esophageal cancer or cardia cancer and all of them would receive open chest surgery in Gansu provincial cancer hospital during to May of 2012 to September of 2013.All the patients were divided into control group and therapy group in order.The control group performance the traing of shrinkage lips breath, deep breath and deep breathing resistance training during 2 weeks of treatment.The therapy group was given aminophylline, ammonia bromine, oxidation at omization treatment besides the traing of control group.To assess the lung function before and after therapy respectively. Results:We found both the control group and therapy group had a significantly difference of lung function between before and after the therapy( P<0.05;P <0.01, respectively), Significant difference was also shown between the control group and therapy group of lung function after therapy( P<0.01). Conclusion: A comprehensive intervention to be helpful improve lung function in patients with thoracic surgery.

关 键 词：开胸手术 术前 肺功能 干预 

分 类 号：R730.56[医药卫生—肿瘤]