短期呼吸锻炼在OPCAB围术期的应用与效果观察.docVIP

精品论文 参考文献 短期呼吸锻炼在OPCAB围术期的应用与效果观察 （成都市第三人民医院心脏外科西南交大附属医院lt;成都市心血管病研究所gt; 四川 成都 610031） 　　【摘要】 目的：探讨呼吸功能训练对非体外循环下冠脉搭桥术患者康复的影响。方法：选取 2014年3月到2016年3月在我科行非体外循环冠脉搭桥术患者160例，按入院的先后随机分为实验组和对照组各80例，对照组行冠脉搭桥术前常规护理，实验组行呼吸锻炼指导，观察比较两组患者术后并发症发生率、住院天数、抗生素使用时间、早期下床活动时间、发生呼吸功能不全发生率等并进行统计分折。结果：实验组患者住院天数、抗生素使用时间、早期下床活动时间、呼吸功能不全发生率、ICU住院治疗时间均少于对照组(Plt;0.05)。结论：术前呼吸功能训练可减少非体外循环患者术后呼吸系统并发症的发生率，可促进患者早日康复，OPCAB患者术前行呼吸锻炼是必要的。 　　【关键词】 呼吸锻炼；非体外循环；冠脉搭桥；肺部并发症 　　【中图分类号】R563 【文献标识码】A 【文章编号】2095-1752（2016）26-0119-02 　　The application and effect of short term breathing exercise in perioperative period of OPCAB 　　Cao Anqiang Luo Yong Yuan Wu Chen Jian Wang Wei . 　　Wang Yuebin,Correspondence author,Department of cardiac surgery, the third peoples Hospital of Chengdu 　　【Abstract】Objective To investigate the effects of pulmonary function training on off-pump coronary artery bypass grafting patients. Methods From March 2014 to March 2016, 160 cases of patients with non cardiopulmonary bypass were selected in our department.According to hospital admission, 160 patients were divided into two groups by random and each group consisted of 80 cases.Before coronary artery bypass grafting, routine nursing care was given to the control group, the experimental group was given breathing exercise guidance.We compared the incidence of postoperative complications, length of hospital stay, the use of antibiotics, the time of early bed activity, the incidence of respiratory dysfunction, and so on, carried out statistical analysis. Results In the experimental group, hospital days, the use of antibiotics, early bed activity time, the incidence of respiratory insufficiency, ICU hospitalization time were less than the control group (Plt;0.05). Conclusion Respiratory function training before operation can reduce the incidence of postoperative respiratory complications in patients with non cardiopulmonary bypass surgery, can promote the recovery of patients, Breathing ex