BACKGROUND In China,as the population grows older,the number of elderly people who have died from respiratory problems has increased.AIM To investigate whether enhanced recovery after surgery(ERAS)-based respiratory f...BACKGROUND In China,as the population grows older,the number of elderly people who have died from respiratory problems has increased.AIM To investigate whether enhanced recovery after surgery(ERAS)-based respiratory function training may help older patients who had abdominal surgery suffer fewer pulmonary problems,shorter hospital stays,and improved lung function.METHODS The data of 231 elderly individuals having abdominal surgery was retrospectively analyzed.Based on whether ERAS-based respiratory function training was provided,patients were divided into ERAS group(n=112)and control group(n=119).Deep vein thrombosis(DVT),pulmonary embolism(PE),and respiratory tract infection(RTI)were the primary outcome variables.Secondary outcome variables included the Borg score Scale,FEV1/FVC and postoperative hospital stay.RESULTS The percentage of 18.75%of ERAS group participants and 34.45%of control group participants,respectively,had respiratory infections(P=0.007).None of the individuals experienced PE or DVT.The ERAS group’s median postoperative hospital stay was 9.5 d(3-21 d)whereas the control groups was 11 d(4-18 d)(P=0.028).The Borg score decreased on the 4th d following surgery in the ERAS group compared to the 2nd d prior(P=0.003).The incidence of RTIs was greater in the control group than in the ERAS group among patients who spent more than 2 d in the hospital before surgery(P=0.029).CONCLUSION ERAS-based respiratory function training may reduce the risk of pulmonary complications in older individuals undergoing abdominal surgery.展开更多
Objective: to explore the effect of respiratory function training on improving pulmonary function in patients with rheumatic heart disease. Methods: 61 patients with rheumatic heart disease received by the cardiac sur...Objective: to explore the effect of respiratory function training on improving pulmonary function in patients with rheumatic heart disease. Methods: 61 patients with rheumatic heart disease received by the cardiac surgery department of the hospital from April 11, 2020 to April 11, 2021 were grouped according to the time of elective heart surgery. 30 patients in the traditional group received traditional nursing intervention and 31 patients in the experimental group received respiratory function training. The postoperative pulmonary function and postoperative adverse reactions of the two groups were observed. Results: before nursing, the forced expiratory volume (FEV1), respiratory volume (FVC), the percentage of forced vital capacity in forced vital capacity (FEV1%) in the first second and the level of blood oxygen saturation (SaO2) in the two groups were highly homogeneous. After nursing, the levels of FEV1, FVC, FEV1% and SaO2 in the two groups were higher than those before nursing. FEV1, FVC The level of FEV1% was significantly higher than that of the traditional group, the statistical predictive value showed that there was specificity (P < 0.05), the level of SaO2 was slightly higher than that of the traditional group, and the statistical predictive value showed that there was no specificity (P > 0.05);The incidence of sputum cough and aspiration pneumonia in the experimental group was lower than that in the traditional group. The statistical prediction results showed that there was specificity (P < 0.05);The comparison of the satisfaction questionnaire between the two groups shows that the average score of the satisfaction questionnaire in the experimental group is higher than that in the traditional group, and the statistical prediction results suggest that there is specificity (P < 0.05). Conclusion: preoperative respiratory function training for rheumatic heart disease is helpful to the recovery of postoperative pulmonary function, reduce postoperative adverse reactions and improve patients satisfaction with medical services, which can be used as an important auxiliary measure before heart surgery.展开更多
基金Supported by Project for Scientific Research by the Hongkou District Health Committee,No.Hong Wei 2002-08.
文摘BACKGROUND In China,as the population grows older,the number of elderly people who have died from respiratory problems has increased.AIM To investigate whether enhanced recovery after surgery(ERAS)-based respiratory function training may help older patients who had abdominal surgery suffer fewer pulmonary problems,shorter hospital stays,and improved lung function.METHODS The data of 231 elderly individuals having abdominal surgery was retrospectively analyzed.Based on whether ERAS-based respiratory function training was provided,patients were divided into ERAS group(n=112)and control group(n=119).Deep vein thrombosis(DVT),pulmonary embolism(PE),and respiratory tract infection(RTI)were the primary outcome variables.Secondary outcome variables included the Borg score Scale,FEV1/FVC and postoperative hospital stay.RESULTS The percentage of 18.75%of ERAS group participants and 34.45%of control group participants,respectively,had respiratory infections(P=0.007).None of the individuals experienced PE or DVT.The ERAS group’s median postoperative hospital stay was 9.5 d(3-21 d)whereas the control groups was 11 d(4-18 d)(P=0.028).The Borg score decreased on the 4th d following surgery in the ERAS group compared to the 2nd d prior(P=0.003).The incidence of RTIs was greater in the control group than in the ERAS group among patients who spent more than 2 d in the hospital before surgery(P=0.029).CONCLUSION ERAS-based respiratory function training may reduce the risk of pulmonary complications in older individuals undergoing abdominal surgery.
文摘Objective: to explore the effect of respiratory function training on improving pulmonary function in patients with rheumatic heart disease. Methods: 61 patients with rheumatic heart disease received by the cardiac surgery department of the hospital from April 11, 2020 to April 11, 2021 were grouped according to the time of elective heart surgery. 30 patients in the traditional group received traditional nursing intervention and 31 patients in the experimental group received respiratory function training. The postoperative pulmonary function and postoperative adverse reactions of the two groups were observed. Results: before nursing, the forced expiratory volume (FEV1), respiratory volume (FVC), the percentage of forced vital capacity in forced vital capacity (FEV1%) in the first second and the level of blood oxygen saturation (SaO2) in the two groups were highly homogeneous. After nursing, the levels of FEV1, FVC, FEV1% and SaO2 in the two groups were higher than those before nursing. FEV1, FVC The level of FEV1% was significantly higher than that of the traditional group, the statistical predictive value showed that there was specificity (P < 0.05), the level of SaO2 was slightly higher than that of the traditional group, and the statistical predictive value showed that there was no specificity (P > 0.05);The incidence of sputum cough and aspiration pneumonia in the experimental group was lower than that in the traditional group. The statistical prediction results showed that there was specificity (P < 0.05);The comparison of the satisfaction questionnaire between the two groups shows that the average score of the satisfaction questionnaire in the experimental group is higher than that in the traditional group, and the statistical prediction results suggest that there is specificity (P < 0.05). Conclusion: preoperative respiratory function training for rheumatic heart disease is helpful to the recovery of postoperative pulmonary function, reduce postoperative adverse reactions and improve patients satisfaction with medical services, which can be used as an important auxiliary measure before heart surgery.
