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术前呼吸功能锻炼对胸心外科手术病人肺功能的影响 被引量:193

Effect of preoperative respiratory function exercises on pulmonary function of patients under thoracic-cardiovascular surgery
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摘要 目的 :评估术前呼吸功能锻炼对改善肺功能的效果。方法 :随机选取 1999年 3月至 2 0 0 1年 9月 4 0例拟行开胸手术的病人 ,术前 1~ 4周进行沙袋加压腹式呼吸训炼和有效咳嗽训练 ,观察锻炼前后病人肺功能改善情况。结果 :锻炼后病人的呼吸频率显著减慢 (t=17.6 3,P <0 .0 1) ,最大通气量、时间通气量、指脉氧饱和度、血氧饱和度和第 1秒肺活量较锻炼前均有不同程度提高 (t=3.5 9,t=6 .70 ,t=3.5 6 ,t=4 .6 1,t=6 .35 ,P均 <0 .0 5 )。结论 :呼吸功能锻炼可改善病人的肺功能 ,提高病人对手术的耐受性。 Objective:To evaluate the effects of improvement of pulmonary function of patients treated by preoperative respiratory function exercises. Methods :From March 1999 to September 2001, 40 thoracic-open operative patients were optioned randomly. The effects of improvement of pulmonary function result from abdominal respiratory exercises under pressure and valid cough exercises were observed and analyzed. Results :Compared with pre-exercise, pulmonary function was improved to a certain extent after respiratory function exercises. Conclusions: Pulmonary function in thoracic-cardiovascular surgical patients was improved, operative endurance enhanced, and postoperative complication in respiratory organs decreased to an extent though respiratory function exercises which deserved to wide application.
出处 《中华护理杂志》 CSCD 北大核心 2004年第6期401-402,共2页 Chinese Journal of Nursing
关键词 呼吸功能锻炼 胸心外科 外科手术 肺功能 术前护理 呼吸道 Respiratory function exercise Pulmonary function Thoractomy Preoperative care
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