CAJ | 학술논문

目的：观察呼吸康复训练结合超短波理疗对促进呼吸外科老年患者术后肺功能恢复的影响。方法本院行呼吸外科手术的患者105例随机分为2组。对照组55例术前开展呼吸康复训练，术后予支气管解痉药物、抗感染药物治疗及氧疗。干预组50例在对照组基础上，术后尽早开展呼吸康复训练结合超短波物理康复理疗。术后14 d比较2组肺功能指标。结果干预组患者呼吸频率低于对照组（P＜0．05）；且肺活量（VC）、动脉血氧分压[p（O2）]、第1 s用力呼气容积（FEV1）、最大通气量（MVV）改善均优于对照组（P＜0．05）。干预组肺部并发症总发生率6．0％，低于对照组27．3％，比较差异有统计学意义（P＜0．05）。结论呼吸康复训练结合超短波在促进呼吸外科老年患者术后肺功能恢复中具有重要意义。
목적：관찰호흡강복훈련결합초단파리료대촉진호흡외과노년환자술후폐공능회복적영향。방법본원행호흡외과수술적환자105례수궤분위2조。대조조55례술전개전호흡강복훈련，술후여지기관해경약물、항감염약물치료급양료。간예조50례재대조조기출상，술후진조개전호흡강복훈련결합초단파물리강복리료。술후14 d비교2조폐공능지표。결과간예조환자호흡빈솔저우대조조（P＜0．05）；차폐활량（VC）、동맥혈양분압[p（O2）]、제1 s용력호기용적（FEV1）、최대통기량（MVV）개선균우우대조조（P＜0．05）。간예조폐부병발증총발생솔6．0％，저우대조조27．3％，비교차이유통계학의의（P＜0．05）。결론호흡강복훈련결합초단파재촉진호흡외과노년환자술후폐공능회복중구유중요의의。
Objective To investigate the effect pulmonary rehabilitation combined with ultrashort wave on promoting the postoperative recovery of pulmonary function in elderly respiratory surgical patients .Methods 105 elderly respiratory surgical patients were randomly divided into two groups .55 cases in control group received preoper-ative pulmonary rehabilitation exercise and postoperative bronchial antispasmodic drugs ,anti-infective drug and oxy-gen therapy .50 cases in treatment group received pulmonary rehabilitation combined with ultrashort wave on the basis of control group treatment .Pulmonary function indicatrix in two groups were compared after treatment .Results Re-spiratory rate in treatment group was lower than that in control group (P<0.05) on 14 days postoperative.Pulmonary function indicatrix such as VC,p(O2),FEV1 and MVV in treatment group were significantly improved (P<0.05). The overall incidence of pulmonary complications in treatment group (6.0%) was lower than that in control group (27.3%,P<0.05).Conclusion Pulmonary rehabilitation combined with ultrashort wave will be of great impor-tance in promoting the postoperative recovery of pulmonary function in elderly patients .