CAJ | 학술논문

目的：探讨呼吸功能训练对胸腔镜下肺叶切除术患者肺功能康复的临床效果。方法：选取我院2013年1月～2014年12月施行的80例接受胸腔镜下肺叶切除术的患者，将其随机分为观察组及对照组，对照组采取常规呼吸护理（35例）、观察组采取呼吸功能训练（腹式深呼吸、有效咳嗽、吹气球、呼吸操）护理（45例），对比两组患者的术后并发症、肺功能指标、胸管留置时间和住院天数等情况。结果：呼吸护理前，两个组别的呼吸频率、最大通气量、时间通气量和指脉氧饱和度无显著差异，与对照组比，观察组的呼吸频率、最大通气量、时间通气量和指脉氧饱和度均优于对照组。实验组术后胸腔积液和呼吸衰竭并发症发生率均明显低于对照组。观察组术后拔管时间、开始步行50m 时间和住院时间均短于对照组。结论：呼吸功能训练可改善胸腔镜下肺叶切除术后患者的肺功能，降低肺不张、呼吸衰竭等并发症，加快恢复，值得临床上的进一步推广及使用。
목적：탐토호흡공능훈련대흉강경하폐협절제술환자폐공능강복적림상효과。방법：선취아원2013년1월～2014년12월시행적80례접수흉강경하폐협절제술적환자，장기수궤분위관찰조급대조조，대조조채취상규호흡호리（35례）、관찰조채취호흡공능훈련（복식심호흡、유효해수、취기구、호흡조）호리（45례），대비량조환자적술후병발증、폐공능지표、흉관류치시간화주원천수등정황。결과：호흡호리전，량개조별적호흡빈솔、최대통기량、시간통기량화지맥양포화도무현저차이，여대조조비，관찰조적호흡빈솔、최대통기량、시간통기량화지맥양포화도균우우대조조。실험조술후흉강적액화호흡쇠갈병발증발생솔균명현저우대조조。관찰조술후발관시간、개시보행50m 시간화주원시간균단우대조조。결론：호흡공능훈련가개선흉강경하폐협절제술후환자적폐공능，강저폐불장、호흡쇠갈등병발증，가쾌회복，치득림상상적진일보추엄급사용。
ObjectiveTo study the effect of respiratory training on lung function rehabilitation of patients underwent tho-racoscopic lobectomy.Methods From April 2012 to October 2014, 80 cases patients underwent horacoscopic lobectomy were randomly divided into 2 groups. 35 cases in the control group received conventional respiratory care, 45 cases in the observation group accepted respiratory function training (abdominal breathing and effective cough, blowing balloons, breathing exercises). Postoperative complications, pulmonary function, extubation time and hospital stay were compared within 2 groups. Results Before respiratory care, the respiratory rate, maximum ventilation, ventilation time and finger pulse oximetry in 2 groups had no significant differences. After care, compared with the control group, the respiratory rate, maximum ventilation, ventilation time and finger pulse oximetry had improved significantly in the observation group. The occurrences of pleural effusion and respira-tory failure were less, the extubation time, started walking 50 meters and hospitalization time were shorter in the observation group, compared with the control group. Conclusion The respiratory training can improve respiratory function after lobectomy thoracoscopic by reducing atelectasis, respiratory failure and other complications, and improving recovery, which is worthy of further application.