术前呼吸功能训练对开胸手术患者术后呼吸功能恢复的效果观察

摘要

Objective:To investigate the effect of preoperative respiratory function training in the use of undergoing thoracic surgery patients for postoperative respiratory function recovery,to make a guide for clinical application.Method:86 patients underwent thoracotomy in our hospital from January 2010 to January 2013 were selected as research objects,they were randomly divided into the control group(given conventional care)and the observation group,43 cases in each group. The control group was given conventional care,the observation group was given preoperative respiratory function training on the basis of the control group,the postoperative respiratory function recovery between the two groups were compared. Result:The PO2 and PCO2 of the observation group were significantly better than of the control group,the differences were statistically significant(P<0.05);The antibiotic usage time,oxygen inhalation time,hospitalization time of the observation group were significantly shorter than the control group,and the incidence of respiratory complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Preoperative respiratory function training has a significant effect in the use of undergoing thoracic surgery patients for postoperative respiratory function recovery,can greatly reduce the postoperative complications for patients.It is good for postoperative recovery of respiratory function,worthy of clinical application.%目的：探讨术前呼吸功能训练对开胸手术患者术后呼吸功能恢复的应用效果，为临床推广做出指导。方法：选取本院2010年1月-2013年1月收治的86例需行开胸手术的患者作为研究对象，按照随机数字表法将其分为对照组和观察组各43例，对照组给予常规护理，观察组在对照组的基础上进行术前呼吸功能训练，观察比较两组患者术后呼吸功能的恢复情况。结果：观察组的术后氧分压（PO2）以及二氧化碳分压（PCO2）均明显优于对照组，差异均有统计学意义（P<0.05）；观察组的术后抗生素使用时间、吸氧时间和住院时间均明显短于对照组，且呼吸系统并发症发生率明显低于对照组，差异均有统计学意义（P<0.05）。结论：术前呼吸功能训练对开胸手术患者术后呼吸功能恢复的应用效果显著，能大大减少患者的术后并发症，利于患者术后呼吸功能的恢复，值得临床推广应用。