肺切除患者术后24 h内早期下床活动安全性与可行性评价.docVIP

肺切除患者术后24 h内早期下床活动安全性与可行性评价 　　[摘要] 目的 探讨肺切除患者术后24 h内早期下床活动的安全性与可行性。方法 将2008年6月～2012年6月入住我院的100例肺切除患者按照抽签法随机分为对照组与观察组，观察组为加速康复组（FTS），即术后24 h内早期下床活动，对照组为术后2 d后下床活动患者。比较两组术后肺功能、术后肺部并发症发生率、胸腔留置管留置时间、下床活动时间以及住院时间等。结果 FTS组术后早期肺功能恢复比对照组快（P0.01）；两组均会出现肺不张、肺部感染、胸腔积液及脓胸等不良并发症，FTS组术后并发症发生率为10.00%（5/50），明显小于对照组（20.00%）（P0.01）；对照组拔引流管时间、早期下床活动时间及住院时间明显大于FTS组（P0.05或0.01）。结论 肺切除患者术后24 h内早期下床活动效果显著，安全性较高，具有较好的可行性。 　　[关键词] 肺切除；早期下床活动；安全性；可行性 　　[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2013）25-0022-02 　　The feasibility and safety evaluation of early ambulation of pneumonectomy patients within 24 h 　　XU Wenting 　　Department of Thoracic Surgery，Central Hospital of Zibo Mining Group Co.，Ltd in Shandong Province，Zibo 255120，China 　　[Abstract] Objective To investigate the safety and feasibility of early ambulation pneumonectomy patients within 24 h. Methods A total of 100 cases of patients were divided into control group and observation group. The observation group accelerated the rehabilitation group （FTS） that within 24 h after early ambulation，ambulation patients in the control group were 2d after surgery. The postoperative lung function， the incidence of postoperative pulmonary complications，pleural catheter indwelling time，ambulation and hospital stay were compared between the two groups. Results FTS group of early postoperative lung function recovery were faster than the control group（P 0.01）；Both groups will appear atelectasis，lung infection，pleural effusion and empyema and other adverse complications the FTS group postoperative complication rate was 10.00% （5/50），significantly less than the control group （20.00%），compared the two groups（P 0.01）；the control group to pull drainage tube time，the early ambulation time and hospital stay were significantly greater than the FTS group （P 0.05，P 0.01）. Conclusion Pneumonectomy patients within 24 h after surgery early ambulation effect is significant，higher security，better feasibility. 　　[Key words] Pneumonectomy；Early ambulati