摘要
目的：探讨应用深吸气训练降低慢性阻塞性肺病（ COPD）患者开胸术后肺部并发症发生率的可行性。方法将62例合并COPD行开胸手术的患者随机分为对照组和观察组，对照组予以常规雾化吸入、物理排痰等治疗；观察组在对照组的基础上术后应用呼吸训练器进行深吸气训练。对比观察2组术后肺部并发症发生率、预后，以及术前、术后1～5d深吸气量的变化。结果观察组肺部并发症发生率及ICU停留时间显著低于对照组，其术后3～5 d的深吸气量显著高于对照组。结论术后进行深吸气训练可显著降低COPD患者围手术期肺部并发症发生率，并促进肺功能的恢复。
Objective To discuss the feasibility on reducing the postoperative pulmonary complications （ PPC） incidence after thoracot-omy on chronic obstructive pulmonary disease （ COPD） though application of incentive spirometry （ IS） . Methods 62 patients with COPD concurrent thoracotomy were divided into control group and observation group,the control group was given routine nebulization,expectoration and other physical treatment;the observation group were given IS besides the conventional treatment. The incidence of PPC,prognosis,and the changes on pulmonary function were compared between these two groups. Results The incidence of PPC and mortality of observation group＆amp;nbsp;were significantly lower than those of control group,and the inspiratory capacity（ IC） from 3～5 days was significantly higher than that of con-trol group. Conclusion Application of IS can reduce the PPC incidence after thoracotomy on COPD patients,and promote the recovery of pulmonary function.
出处
《局解手术学杂志》
2015年第1期45-47,共3页
Journal of Regional Anatomy and Operative Surgery
关键词
慢性阻塞性肺病
开胸手术
深吸气训练
术后肺部并发症
chronic obstructive pulmonary disease
thoracic surgery
incentive spirometry
postoperative pulmonary complications
