术前吸气锻炼预防冠脉搭桥术后肺部并发症  

Inspiratory Training Before Coronary Artery Bypass Graft to decrease mortality

作　　者：赵扬[1] 陈振强[1] 陈鑫[1] 郭子黄[1] 徐明[1] 蒋英硕[1] 秦星[1] 肖立琼[1] 

机构地区：[1]南京医科大学附属南京第一医院心胸外科,南京210006

出　　处：《海南医学》2003年第11期14-16,共3页Hainan Medical Journal

摘　　要：目的　评价术前吸气锻炼对改善冠状动脉搭桥手术 (CABG)患者肺功能、预防术后肺部并发症的作用。方法　研究 3 3 8例CABG病人 ,2 3 6例进行术前吸气锻炼的病人作为实验组 ,10 2例未进行吸气锻炼的病人作为对照组。分析比较两组病人术前、术后的血气变化 ,术后机械呼吸支持时间以及肺部感染的发生率。结果　实验组术后血气指标的下降明显小于对照组 ,术后机械呼吸支持时间和肺部感染发生率均小于对照组。结论　CABG术前吸气锻炼能明显改善患者肺功能 ,从而缩短术后机械呼吸支持时间 ,达到减少术后肺部并发症的目的。Objective To evaluate the efficiency of inspiratory training to prevent pulmonary complications after coronary artery bypass graft.Methods 338 patients underwent coronary artery bypass graft were divided into two groups.236 patients underwent inspiratory muscle training before the operation (group 1),102 patients were assigned to the control group (group 2).Results There was a significant decrease in gas exchange and a increase in time of mechanical ventilation in the control group following CABG,whereas these parameters remained similar to those before entering the study in the training group.Conclusions Inspiratory muscle training before coronary artery bypass graft may avoid most of the perioperative pulmonary complications,may shorten the time of mechanical ventilation and hospitalization,and may decrease mortality.

关 键 词：冠脉搭桥术 并发症 吸气锻炼 CABG 临床资料 肺 

分 类 号：R654.2[医药卫生—外科学] R563[医药卫生—临床医学]