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目的:研究探讨术前呼吸操锻炼在开胸手术患者中的应用价值。方法:选取我院2014年5月~2015年10月期间收治择期开胸手术患者109例,采用双盲对照法随机分为2组,对照组54例,对开胸手术患者实施胸外科常规围手术护理服务,观察组55例,在常规围手术护理的基础上联合应用术前呼吸操锻炼,对比观察两组患者治疗效果及相关并发症发生情况。结果:观察组患者经呼吸操锻炼之后其FEV1、MVV肺功能指标明显优于对照组(P<0.05)差异有统计学意义;观察组患者术后肺部感染、肺不张、包裹性液气胸等并发症明显低于对照组(P<0.05)差异有统计学意义。结论:开胸手术患者实施术前呼吸操锻炼可有效改善患者肺功能,提高了患者对手术的耐受性,降低术后并发症的发生。
Objective: To study the value of preoperative respiratory exercises in patients undergoing thoracic surgery. Methods: A total of 109 patients undergoing elective thoracotomy from May 2014 to October 2015 in our hospital were selected and randomly divided into two groups according to double-blind control and 54 patients in control group. Thoracic surgery patients Surgical care services, observation group of 55 cases, on the basis of routine perioperative nursing combined with preoperative breathing exercises exercise, comparative observation of two groups of patients with treatment and related complications. Results: The lung function indexes of FEV1 and MVV in the observation group were significantly better than those in the control group after breathing exercises (P <0.05). The postoperative pulmonary infection, atelectasis, encapsulated fluid pneumothorax And other complications were significantly lower than the control group (P <0.05) the difference was statistically significant. Conclusion: The preoperative respiratory exercises can improve lung function, improve the patient’s tolerance to surgery and reduce the incidence of postoperative complications.