摘要
目的 探讨经鼻高流量氧疗联合呼吸训练器对胸腔镜非小细胞肺癌手术术后肺功能的应用价值。方法选取2018年1月—2021年1月唐山市人民医院胸外科胸腔镜手术治疗的非小细胞肺癌术后患者108例作为研究对象,按照治疗方法的不同将其分为二组,其中对照组(52例)患者采用常规鼻吸氧及简易呼吸锻炼治疗,观察组(56例)患者用经鼻高流量氧疗及呼吸训练器进行治疗。比较二组术后排痰情况、肺功能指标、术后并发症等指标。结果术后一周观察组用力肺活量(FVC)、最大呼气第一秒呼出气量容积(FEV1)、肺活量(VC)指标均高于对照组,差异均有统计学意义(均P<0.05);观察组术后首次咳痰时间明显短于对照组,术后1周内平均排痰量明显多于对照组,差异均有统计学意义(均P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论 经鼻高流量氧疗联合呼吸训练器能明显改善胸腔镜非小细胞肺癌手术术后患者肺部功能,降低并发症,促进排痰,从而缩短住院时间,有较高的临床价值。
Objective Investigate the application value of transnasal high-flow oxygen therapy combined with respiratory trainer in pulmonary function after thoracoscopic non-small cell lung cancer surgery.Methods One hundred and eight cases of postoperative patients with non-small cell lung cancer treated by thoracoscopic surgery in department of Thoracic Surgery of Tangshan People’s Hospital from January 2019 to January 2021 were selected as the research objects,and they were divided into two groups according to the treatment methods.The control group(fifty-two cases) received conventional nasal feeding oxygen inhalation and simple breathing exercise.Observation group(fifty-six cases) were treated with transnasal high flow oxygen therapy and breathing trainer.The two groups were compared in terms of postoperative sputum discharge,lung function and postoperative complications.Results Forced Vital Capacity(FVC),Forced expiratory volume in one second(FEV1),Vital Capacity(VC) were higher than those in control group,the differences were statistically significant(P<0.05).The first postoperative expectoration time in the observation group was significantly shorter than that in the control group,and the average sputum volume within 1 week after surgery was significantly higher than that in the control group,with statistical significance(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Transnasal high-flow oxygen therapy combined with respiratory trainer can significantly improve the lung function of patients after thoracoscopic non-small cell lung cancer surgery,reduce complications,promote sputum discharge,and shorten the length of hospital stay,which has high clinical value.
作者
常艳双
杨芳杰
高健
孙炜环
赵丽
王芳
曹倩楠
石静
CHANG Yanshuang;YANG Fangjie;GAO Jian;SUN Weihuan;ZHAO Li;WANG Fang;CAO Qiannan;SHI Jing(Tangshan People’s Hospital,Tangshan 063000,China)
出处
《中国煤炭工业医学杂志》
2022年第3期299-303,共5页
Chinese Journal of Coal Industry Medicine
基金
2019年度河北省医学科学研究课题计划(编号:20201535)。
关键词
经鼻高流量氧疗
呼吸训练器
非小细胞肺癌术后
Transnasal high flow oxygen therapy
Breathing trainer
Postoperative non-small cell lung cancer
