浙江医学教育
浙江醫學教育
절강의학교육
Zhejiang Medical Education
2014年
6期
30-32,61
,共4页
俞慧仙%应学%包云春%魏星
俞慧仙%應學%包雲春%魏星
유혜선%응학%포운춘%위성
抗阻呼气%肺康复%腹部手术%老年患者
抗阻呼氣%肺康複%腹部手術%老年患者
항조호기%폐강복%복부수술%노년환자
resistance breath%pulmonary rehabilitation%abdominal operation%elderly patients
目的：研究抗阻呼气对老年腹部手术患者术前肺功能的改善情况及对患者术后肺部相关并发症发生率的影响。方法：选择2013年1月1日至2013年12月31日我院外科在全麻下行上腹部手术的老年患者（年龄≥65岁）50例，随机分成2组。对照组术前采用常规干预方法，实验组在对照组的基础上加用抗阻呼气法锻炼，比较术前2组患者上楼距离、屏气试验、血氧饱和度、动脉血氧分压以及肺功能等方面的差异，同时观察术后咳嗽咳痰情况及肺部并发症的发生率。结果：实验组在屏气试验、血氧饱和度和动脉血氧分压及肺功能等方面均优于对照组，且有统计学意义（P＜0.05）。行抗阻呼气训练后的老年患者术后肺部并发症发生率明显低于对照组（P＜0.05）。结论：抗阻呼气锻炼能够改善老年患者的肺功能，降低围手术期风险，有效地减少老年腹部手术患者术后肺部感染并发症的发生，在临床上值得推广。
目的：研究抗阻呼氣對老年腹部手術患者術前肺功能的改善情況及對患者術後肺部相關併髮癥髮生率的影響。方法：選擇2013年1月1日至2013年12月31日我院外科在全痳下行上腹部手術的老年患者（年齡≥65歲）50例，隨機分成2組。對照組術前採用常規榦預方法，實驗組在對照組的基礎上加用抗阻呼氣法鍛煉，比較術前2組患者上樓距離、屏氣試驗、血氧飽和度、動脈血氧分壓以及肺功能等方麵的差異，同時觀察術後咳嗽咳痰情況及肺部併髮癥的髮生率。結果：實驗組在屏氣試驗、血氧飽和度和動脈血氧分壓及肺功能等方麵均優于對照組，且有統計學意義（P＜0.05）。行抗阻呼氣訓練後的老年患者術後肺部併髮癥髮生率明顯低于對照組（P＜0.05）。結論：抗阻呼氣鍛煉能夠改善老年患者的肺功能，降低圍手術期風險，有效地減少老年腹部手術患者術後肺部感染併髮癥的髮生，在臨床上值得推廣。
목적：연구항조호기대노년복부수술환자술전폐공능적개선정황급대환자술후폐부상관병발증발생솔적영향。방법：선택2013년1월1일지2013년12월31일아원외과재전마하행상복부수술적노년환자（년령≥65세）50례，수궤분성2조。대조조술전채용상규간예방법，실험조재대조조적기출상가용항조호기법단련，비교술전2조환자상루거리、병기시험、혈양포화도、동맥혈양분압이급폐공능등방면적차이，동시관찰술후해수해담정황급폐부병발증적발생솔。결과：실험조재병기시험、혈양포화도화동맥혈양분압급폐공능등방면균우우대조조，차유통계학의의（P＜0.05）。행항조호기훈련후적노년환자술후폐부병발증발생솔명현저우대조조（P＜0.05）。결론：항조호기단련능구개선노년환자적폐공능，강저위수술기풍험，유효지감소노년복부수술환자술후폐부감염병발증적발생，재림상상치득추엄。
Objective ] To study the situation of resistance breath improvement on pulmonary function of elderly patients with abdominal operation before and effect on pulmonary complications of patients after operation . [Method ] 50 elderly patients (age ≥ 65 years ) in surgical department of our hospital from 1-1-2013 to 31-12-2013 who received anesthesia in upper abdominal operation were randomly divided into two groups .The control group was received preoperative routine intervention . The experimental group was treated with routine intervention combining with resistance exercise breath method .Upstairs dis-tance ,breath holding test ,blood oxygen saturation ,arterial partial pressure of oxygen and pulmonary function were tested and compared .The postoperative expectoration cough and pulmonary complication were observed at the same time .[Result]In the experimental group ,breath holding test ,saturation of blood oxygen ,blood pressure and lung function were better than the con-trol group ,and have statistical significance ( P< 0.05 ) . Pulmonary complications for elderly patients with resistance breath training after the rate was significantly lower than the control group ( P<0.05) .[Conclusion] Resistance breath exercise can improve pulmonary function in elderly patients during peri operation period .It can reduce risk and are effective in reducing the occurrence of complications in elderly patients with pulmonary infection after abdominal operation .It is worth promoting in clini-cal practice .
