摘要
目的探讨胸部体疗训练对胸腔镜下肺叶切除术患者术后早期康复的影响。方法选取2013年1—12月在上海交通大学医学院附属新华医院心胸外科胸腔镜下行肺叶切除术患者120例,按入院时间先后分为观察组和对照组各60例。对照组按照《临床护理实践指南》采用常规护理方法;观察组患者进行胸部体疗训练,内容包括:呼吸功能训练、胸部体疗和早期活动方法等。比较两组患者术后胸部X线片、呼吸频率、指脉氧饱和度、体温和呼吸道并发症等情况。结果观察组患者手术后肺部恢复情况较好,胸管留置时间减少,离床活动时间提前,且肺部并发症发生率下降。与对照组比较,差异有统计学意义(P<0.05)。结论对胸腔镜下行肺叶切除术患者采用胸部体疗训练,可改善患者手术后的呼吸功能,减少各种并发症的发生率,有利于促进患者早日康复。
Objective To explore the effect of chest exercise training on early postoperative rehabilitation in pa- tients with thoracoscopic lobectomy. Methods A retrospective analysis was performed in our hospital from Jan- uary to December 2013. A total of 120 patients with thoracoscopic lobectomy were chosen. They were divided into the control group and experimental group according to the admission time （60 cases each）. The control group received conventional nursing according to the clinical nursing practice guide, and the experimental group received chest exercise training including respiratory function training, chest exercises and early activity meth- od. The postoperative chest X ray film, respiratory rate, pulse oxygen saturation, body temperature and respira- tory complications between the two groups were compared. Results Compared with the control group, the ex- perimental group had better postoperative lung rehabilitation, shorter chest tube indwelling time, earlier bed ac- tivity, and less respiratory complications. The differences had statistical significance （P 〈 0.05 ）. Conclusion Chest exercise training can promote early postoperative rehabilitation in patients with thoracoscopie lobeetomy.
出处
《上海护理》
2014年第5期5-9,共5页
Shanghai Nursing
关键词
肺叶切除术
胸部体疗训练
康复
Lobectomy
Chest exercise training
Rehabilitation
