CAJ | 학술논문

目的：探讨手术前后呼吸功能锻炼对肺袖状切除术患者肺功能康复的作用。方法：选取青岛大学医学院2012年6月-2014年6月行肺袖状切除手术的40例肺癌患者作为研究对象，手术前后对所有患者进行有效咳嗽训练、缩唇呼吸和腹式呼吸的培训，共1~2周，并且观察比较患者锻炼前后肺功能康复情况。结果：经呼吸功能锻炼后，所有患者的呼吸频率明显低于锻炼前，最大通气量、时间通气量、指脉氧饱和度、血氧饱和度及第1秒时间肺活量均明显优于锻炼前，差异均有统计学意义(P<0.05)。结论：呼吸功能锻炼能够有效改善肺袖式切除患者的肺功能，增强患者对手术的耐受性，值得临床推广使用。
목적：탐토수술전후호흡공능단련대폐수상절제술환자폐공능강복적작용。방법：선취청도대학의학원2012년6월-2014년6월행폐수상절제수술적40례폐암환자작위연구대상，수술전후대소유환자진행유효해수훈련、축진호흡화복식호흡적배훈，공1~2주，병차관찰비교환자단련전후폐공능강복정황。결과：경호흡공능단련후，소유환자적호흡빈솔명현저우단련전，최대통기량、시간통기량、지맥양포화도、혈양포화도급제1초시간폐활량균명현우우단련전，차이균유통계학의의(P<0.05)。결론：호흡공능단련능구유효개선폐수식절제환자적폐공능，증강환자대수술적내수성，치득림상추엄사용。
Objective:To study the effect of preoperative and postoperative respiratory function exercises on pulmonary function rehabilitation of patients undergoing sleeve lobectomy.Method:40 patients with lung cancer who underwent sleeve lobectomy in Qingdao Medical College from June 2012 to June 2014 were selected as research objects,all patients were given effective cough training,lip breathing and abdominal breathing training pre-and post-operation for 1-2 weeks.The recovery of lung function in all patients before and after exercise were observed and analyzed.Result:After respiratory function exercise,the respiratory frequency of all patients was significantly lower than before exercise,maximum ventilation,ventilation time,pulse oxygen saturation,oxygen saturation and FEV1 were significantly better than before exercise,the differences were statistically significant(P<0.05).Conclusion:Respiratory function exercise can effectively improve the lung function of patients with sleeve lobectomy,enhance the operation tolerance of patients,is worthy of clinical use.