CAJ | 학술논문

目的：比较术前呼吸训练与术后呼吸训练对开胸术后胸腔引流的效果，以促进胸腔积液的早期有效排出，提高护理质量。方法将195例开胸术后患者，随机分为观察组98例和对照组97例。观察组术前进行呼吸训练。对照组术后进行呼吸训练。比较两组术后第1、2、3天的胸腔引流量、胸腔引流总量、拔管时间、住院时间及其胸腔引流并发症发生率。结果观察组术后第1、2天的胸腔引流量明显多于对照组，有显著性差异（P＜0．01）。观察组术后第3天胸腔引流量及胸腔引流总量明显少于对照组，有显著性差异（P＜0．01）。观察组拔管时间及住院时间明显短于对照组，有显著性差异（P＜0．01）。观察组胸腔引流并发症发生率明显低于对照组，有显著性差异（P＜0．01，P＜0．05）。结论术前呼吸训练可促进开胸术后患者胸腔积液早期有效排出，缩短拔管时间及住院时间，减少并发症发生。
목적：비교술전호흡훈련여술후호흡훈련대개흉술후흉강인류적효과，이촉진흉강적액적조기유효배출，제고호리질량。방법장195례개흉술후환자，수궤분위관찰조98례화대조조97례。관찰조술전진행호흡훈련。대조조술후진행호흡훈련。비교량조술후제1、2、3천적흉강인류량、흉강인류총량、발관시간、주원시간급기흉강인류병발증발생솔。결과관찰조술후제1、2천적흉강인류량명현다우대조조，유현저성차이（P＜0．01）。관찰조술후제3천흉강인류량급흉강인류총량명현소우대조조，유현저성차이（P＜0．01）。관찰조발관시간급주원시간명현단우대조조，유현저성차이（P＜0．01）。관찰조흉강인류병발증발생솔명현저우대조조，유현저성차이（P＜0．01，P＜0．05）。결론술전호흡훈련가촉진개흉술후환자흉강적액조기유효배출，축단발관시간급주원시간，감소병발증발생。
Objective To observe and compare the effects of the preoperative and postoperative cough training on pa-tients with thoracic drainage after thoracic surgery ,in order to promote the early effective eduction of pleural effusion ,and improve the quality of nursing .Methods 195 cases of post -thoracotomy patients were randomly divided into the preopera-tive cough training group (98 cases) and the postoperative cough training group (97 cases) .The two groups were observed and compared through the pleural drainage on the first day ,very next day and third day ,the total pleural drainage ,the extu-bation time ,the hospitalization time and other thoracic drainage complications ,and then carried on the statistical analysis . Results The pleural drainage on the on the first day and the very next day in the observation group was higher than that of control group ,the difference was statistically significant (P<0 .01) .the pleural drainage in the third day and the total pleu-ral drainage in the observation group was significantly less than that of the control group ,the difference was statistically sig-nificant (P<0 .01) .The extubation time and hospitalization time in observation group were shorter than that of the control group ,the difference was statistically significant (P<0 .01) .the thoracic drainage complication rate of the observation group was significantly lower than that of the control group ,the difference was statistically significant (P<0 .01 ,P<0 .05) .Con-clusions The preoperative cough training can promote the pleural effusion after thoracotomy to discharge earlily ,shorten the extubation and hospitalization time ,and reduce complications .