手术前后呼吸功能锻炼对肺袖式切除术患者肺功能康复作用.docVIP

手术前后呼吸功能锻炼对肺袖式切除术患者肺功能康复作用 　　【摘要】 目的：探讨手术前后呼吸功能锻炼对肺袖状切除术患者肺功能康复的作用。方法：选取青岛大学医学院2012年6月-2014年6月行肺袖状切除手术的40例肺癌患者作为研究对象，手术前后对所有患者进行有效咳嗽训练、缩唇呼吸和腹式呼吸的培训，共1～2周，并且观察比较患者锻炼前后肺功能康复情况。结果：经呼吸功能锻炼后，所有患者的呼吸频率明显低于锻炼前，最大通气量、时间通气量、指脉氧饱和度、血氧饱和度及第1秒时间肺活量均明显优于锻炼前，差异均有统计学意义（P0.05）。结论：呼吸功能锻炼能够有效改善肺袖式切除患者的肺功能，增强患者对手术的耐受性，值得临床推广使用。 　　【关键词】 呼吸功能锻炼； 手术前后； 肺袖状切除； 肺功能康复 　　中图分类号 R473.6 文献标识码 B 文章编号 1674-6805（2015）17-0064-02 　　Effect of Preoperative and Postoperative Respiratory Function Exercises on Pulmonary Function Rehabilitation of Patients Undergoing Sleeve Lobectomy/MA Ruo-yun，CHU Xiu-mei，YANG Qing-bo，et al.//Chinese and Foreign Medical Research，2015，13（17）：64-65 　　【Abstract】 Objective：To study the effect of preoperative and postoperative respiratory function exercises on pulmonary function rehabilitation of patients undergoing sleeve lobectomy.Method：40 patients with lung cancer who underwent sleeve lobectomy in Qingdao Medical College from June 2012 to June 2014 were selected as research objects，all patients were given effective cough training，lip breathing and abdominal breathing training pre-and post-operation for 1-2 weeks.The recovery of lung function in all patients before and after exercise were observed and analyzed.Result：After respiratory function exercise，the respiratory frequency of all patients was significantly lower than before exercise，maximum ventilation，ventilation time，pulse oxygen saturation，oxygen saturation and FEV1 were significantly better than before exercise，the differences were statistically significant（P0.05）.Conclusion：Respiratory function exercise can effectively improve the lung function of patients with sleeve lobectomy，enhance the operation tolerance of patients，is worthy of clinical use. 　　【Key words】 Respiratory function exercises； Pre-and post-operation； Sleeve lobectomy； Pulmonary function rehabilitation 　　First-author’s address：The Affiliated Hospital of Qingdao University，Qingdao 266000，China 　　doi：10.14033/j.cnki.cfmr.2015.17.035 　　肺癌是医学