首页|路径式呼吸功能训练在食管癌根治术后加速康复外科中的应用效果

路径式呼吸功能训练在食管癌根治术后加速康复外科中的应用效果

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目的 分析路径式呼吸功能训练在食管癌根治术后加速康复外科(ERAS)中的应用效果.方法 选取2020年1月至2022年12月河南省胸科医院80例接受食管癌根治的患者,依照随机法划分成研究组(40例)和常规组(40例),常规组接受ERAS引导下的常规干预,研究组在此基础上联合路径式呼吸功能训练.对比两组术后恢复状况、肺功能[最大通气量(MVV)、第一秒用力呼气容积(FEV1)]、血气指标[动脉二氧化碳分压(PaCO2)、动脉血氧分压(PaO2)]、疼痛程度[视觉模拟评分(VAS)]、并发症发生率.结果 与常规组相比,研究组住院时间、术后输液时间、胸管留置时间较短(P<0.05);与常规组相比,干预后研究组MVV、FEV1水平较高(P<0.05);与常规组相比,干预后研究组PaCO2、PaO2水平较高(P<0.05);与常规组相比,术后24、48、72 h研究组VAS评分较低(P<0.05);研究组并发症发生率较常规组低(P<0.05).结论 路径式呼吸功能训练应用于食管癌根治术后ERAS中能缩短术后恢复时间,改善肺功能和血气指标,并能缓解疼痛、降低并发症发生率.
Application Effect of Path Respiratory Function Training in Accelerated Rehabilitation Surgery After Radical Resection of Esophageal Cancer
Objective To analyze the application effect of path-based respiratory function training in enhanced recovery after surgery(ERAS)for esophageal cancer.Methods A total of 80 patients receiving radical treatment for esophageal cancer in Henan Chest Hospital from January 2020 to December 2022 were selected and divided into study group(40 cases)and routine group(40 cases)according to random method.The conventional group received routine rehabilitation under ERAS guidance,and the research group was combined with path-based respiratory function training on this basis.Postoperative recovery status,lung function[maximal voluntary ventilation(MVV)and forced expiratory volume in the first second(FEV1)],blood gas indexs[arterial partial pressure of carbon dioxide(PaCO2),arterial partial oxygen pressure(PaCO2)],pain degree[visual analogue scale(VAS)],complication rate were compared between the two groups.Results Compared with the conventional group,the length of hospital stay,postoperative infusion time and chest tube indentation time in the study group were shorter(P<0.05).Compared with the conventional group,the levels of MVV and FEV1 in the study group after intervention were higher(P<0.05).Compared with the conventional group,the levels of PaCO2 and PaO2 in the study group after intervention were higher(P<0.05).Compared with the conventional group,the VAS scores of the study group at 24,48 and 72 hours after operation were lower(P<0.05).The complication rate of the experimental group was lower than that of the control group(P<0.05).Conclusion The application of pathway respiratory function training in ERAS after radical resection of esophageal cancer can shorten the postoperative recovery time,improve lung function and blood gas indexes,relieve pain and reduce the incidence of complications.

radical resection of esophageal carcinomaaccelerated rehabilitation surgerypath respiratory function training

秦思琪

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河南省胸科医院胸外科,河南郑州 450000

食管癌根治术 加速康复外科 路径式呼吸功能训练

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(6)
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