摘要
目的 探讨术前呼吸功能锻炼在病态肥胖患者中的应用效果。方法 选取2019年4月至2021年3月我院86例需实施手术治疗的病态肥胖患者作为研究对象,依据入院顺序进行编号,依据编号奇偶性将其分为对照组与观察组,各43例。两组患者入院后均实施常规护理干预,观察组在上述基础上实施为期两周的呼吸功能锻炼,由同一组麻醉医师进行麻醉。比较两组的平均动脉压、心率、血氧指标、拔管时间、麻醉复苏室停留时间、呼吸恢复时间、意识复苏时间、血氧水平恢复时间、拔管后躁动评分、麻醉不良反应发生情况、炎症指标。结果 T_(0)~T_(1)时,两组的平均动脉压、心率比较,差异无统计学意义(P>0.05);T_(2)~T_(5)时,观察组的平均动脉压、心率显著低于对照组,差异具有统计学意义(P<0.05)。T_(0)时,两组的PaO_(2)、PaCO_(2)、pH、氧合指数比较,差异无统计学意义(P>0.05);T_(1)时,观察组的氧合指数显著高于对照组,差异具有统计学意义(P<0.05);T_(2)~T_(5)时,观察组的PaO_(2)、pH、氧合指数显著高于对照组,PaCO_(2)显著低于对照组,差异具有统计学意义(P<0.05)。观察组的拔管时间、麻醉复苏室停留时间、呼吸恢复时间、意识复苏时间、血氧水平恢复时间显著短于对照组,拔管后躁动评分显著低于对照组,差异具有统计学意义(P<0.05)。观察组的麻醉不良反应总发生率为16.28%,显著低于对照组的48.84%,差异具有统计学意义(P<0.05)。术前,两组的IL-6、IL-10、TNF-α、CRP水平比较,差异无统计学意义(P>0.05);术后1 d,观察组的IL-6、TNF-α、CRP水平低于对照组,IL-10水平高于对照组,差异具有统计学意义(P<0.05)。结论 术前呼吸功能锻炼在病态肥胖患者中的应用效果较好,可稳定体征及血氧指标,促进麻醉恢复,减少麻醉不良反应发生,改善炎症指标,值得临床推广和应用。
Objective To explore the application effect of preoperative respiratory function exercise in patients with morbid obesity.Methods A total of 86 patients with morbid obesity needed surgical treatment in our hospital from April 2019 to March 2021 were selected as the research objects.The patients were numbered according to the admission order.According to the parity of the numbers,the patients were divided into control group and observation group,with 43 cases in each group.The patients in the two groups received routine nursing intervention after admission,the observation group received respiratory function exercise for two weeks on the basis of the above,and anes-thesia was performed by same group of anesthesiologists.The mean arterial pressure,heart rate,blood oxygen indexes,extubation time,retention time of anesthesia recovery room,respiratory recovery time,consciousness recovery time,blood oxygen level recovery time,agitation score after extubation,occurrence of anesthetic adverse reactions and inflammatory indexes were compared between the two groups.Results There were no significant differences in mean arterial pressure and heart rate between the two groups at T_(0)-T_(1)(P>0.05);at T_(2)-T_(5),the mean arterial pressure and heart rate in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).At T_(0),there were no significant differences in PaO_(2),PaCO_(2),pH and oxygenation index between the two groups(P>0.05);at T_(1),the oxygenation index in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05);at T_(2)-T_(5),the PaO_(2),p H,oxygenation index in the observation group were significantly higher than those in the control group,the PaCO_(2)was significantly lower than that in the control group,and the differences were statistically significant(P<0.05).The extubation time,retention time of anesthesia recovery room,respiratory recovery time,conscio
作者
闫小龙
武海龙
YAN Xiaolong;WU Hailong(Anesthesiology Department,the Hospital of Linyou County,Baoji 721500;Anesthesiology Department,Baoji Central Hospital,Baoji 721008,China)
出处
《临床医学研究与实践》
2022年第13期70-73,86,共5页
Clinical Research and Practice
关键词
病态肥胖
呼吸功能锻炼
血氧指标
morbid obesity
respiratory function exercise
blood oxygen index
