CAJ | 학술논문

目的：探讨呼吸电刺激训练对肺叶切除术后患者心肺功能的影响。方法：选择肺叶切除术后患者62例，随机分为试验组30例和对照组32例。试验组给予呼吸电刺激训练，训练强度为20 min/次，3次/周，共4周；对照组进行术后常规护理。两组分别在试验前后进行心肺功能评定，评估内容包括：6MWD、FVC和FEV1、W、AT、VO2max/kg。结果：训练4周后，两组的6MWD、W、FVC、FEV1均较基线值有改善，差异有统计学意义（P＜0．05）。但与对照组比较，试验组的6MWD、W、FVC、FEV1改善程度更显著（P＜0．05）。试验组的AT及VO2max/kg值较基线值均有提高（P＜0．05），而试验组的改善程度较对照组显著（P＜0．05）。结论：呼吸电刺激训练可以改善肺叶切除术后患者心肺功能。
목적：탐토호흡전자격훈련대폐협절제술후환자심폐공능적영향。방법：선택폐협절제술후환자62례，수궤분위시험조30례화대조조32례。시험조급여호흡전자격훈련，훈련강도위20 min/차，3차/주，공4주；대조조진행술후상규호리。량조분별재시험전후진행심폐공능평정，평고내용포괄：6MWD、FVC화FEV1、W、AT、VO2max/kg。결과：훈련4주후，량조적6MWD、W、FVC、FEV1균교기선치유개선，차이유통계학의의（P＜0．05）。단여대조조비교，시험조적6MWD、W、FVC、FEV1개선정도경현저（P＜0．05）。시험조적AT급VO2max/kg치교기선치균유제고（P＜0．05），이시험조적개선정도교대조조현저（P＜0．05）。결론：호흡전자격훈련가이개선폐협절제술후환자심폐공능。
Objective To study the effect of electrical stimulation breath training on lung function of patients following pulmonary lobectomy. Methods 62 patients following pulmonary lobectomy were randomly allocated into experimental group (n=30 )and control group (n=32). The experimental group received a 4-week supervised electrical stimulation breath training program using an electric stimulus feedback trainer (20mins per time, 3 times per week);The control group received postoperative routine nursing. Cadiopulmonary function evaluation of 2 groups were tested before and after the experiment. The evaluation included the 6-min walking test (6MWD), FVC, FEV1,W,AT and VO2max/kg. Results After 4 week training, the value of 6MWD,W,FVC,FEV1 all improved, compared to the baseline value (P < 0.05) and the value of 6MWD,W,FVC,FEV1 were more obvious in experimental group, compared to control group(P<0.05). The AT value and the VO2max/kg value increased than the baseline value (P<0.05)and the improvement degree was more remarkable in experimental group than that in control group (P<0.05). Conclusion Electrical stimulation breath training can improve cardiopulmonary function of the patients following pulmonary lobectomy.