摘要
目的观察呼吸训练器训练对胸外科术后患者用力肺活量等肺功能指标的改善程度和生存质量的影响。方法选择2016年7月-2018年9月在杭州市第一人民医院胸外科就诊的84例接受开胸手术治疗的患者,并按照随机数字表法随机分为干预组和对照组,每组42例。对照组患者接受常规护理,干预组患者基于常规护理基础上接受呼吸训练器进行的呼吸训练干预,干预时间为2周。结果开胸术后肺功能指标1秒用力呼气容积(FEV1)干预组[(2.23±0.26)L]与对照组[(2.03±0.33)L]比较差异有统计学意义(P=0.003);用力肺活量(FVC)干预组[(3.25±0.37)L]与对照组[(3.01±0.39)L]比较差异有统计学意义(P=0.005);运动耐量指标血二氧化碳分压(PaCO2)干预组[(65.34±3.75)mm Hg(1 mm Hg=0.133 kPa)]与对照组[(63.77±3.24)mm Hg]比较差异有统计学意义(P=0.043);血氧分压(PaO2)干预组[(46.95±4.26)mm Hg]与对照组[(48.92±3.69) mm Hg]比较差异有统计学意义(P=0.026),生存质量干预组[(66.27±4.36)分]与对照组[(63.18±5.31)分]比较差异有统计学意义(P=0.005),但1秒用力呼气容积与用力肺活量的比值(FEV1/FCV)方面2组患者比较差异无统计学意义。结论胸外科术后应用呼吸训练器能有效改善患者的肺功能,改善其生存质量。
Objective To observe the improvement of respiratory training interventions by respiratory trainer on lung function indicators such as forced vital capacity and the quality of life in patients after thoracic surgery. Methods Eighty-four patients who underwent thoracotomy in the department of thoracic surgery, First People’s Hospital of Hangzhou from July 2016 to September 2018 were enrolled. They were randomly divided into intervention group and control group according to the random number table method. Patients in the control group received routine care, and the intervention group received respiratory training interventions by respiratory trainer based on routine care. The intervention was last for 2 weeks. Results Compared with the control group, pulmonary function indexes, one-second forced expiratory volume(FEV1, 2.23±0.26 vs. 2.03±0.33, P=0.003), forced vital capacity(FVC, 3.25±0.37 vs. 3.01±0.39, P=0.005), and exercise tolerance indexes, blood carbon dioxide partial pressure(PaCO2, 65.34±3.75 vs. 63.77±3.24, P=0.043) and blood oxygen partial pressure(PaO2, 46.95±4.26 vs. 48.92±3.69, P=0.026), and the quality of life(66.27±4.36 vs. 63.18±5.31, P=0.005), the difference between the two groups was statistically significant(P<0.05), but the difference in the ratio of forced expiratory volume to vital capacity(FEV1/FCV)in one second was not statistically significant. Conclusion The use of respiratory trainers after thoracic surgery can effectively improve the lung function of patients and improve their quality of life.
作者
袁国琴
YUAN Guo-qin(Department of Thoracic Surgery,Hangzhou First People's Hospital,Zhejiang University School of Medicine,Hangzhou,Zhejiang 310006,China)
出处
《中华全科医学》
2020年第3期509-512,共4页
Chinese Journal of General Practice
基金
浙江省科技计划项目(2015C37083)
关键词
胸外科
呼吸训练器
肺功能
生存质量
Thoracic surgery
Respiratory trainer
Lung function
Quality of life
