摘要
目的 探索体外膈肌起搏联合肺康复训练对心外术后患者呼吸功能和呼吸系统并发症的影响.方法 回顾分析2022年6月至2023年6月河南省胸科医院心脏外科重症医学科收治的心脏外科术后患者80例,将其分为研究组和对照组,每组40例.两组患者均接受常规肺康复训练,研究组在此基础上接受体外膈肌起搏治疗.观察记录两组患者干预前后的氧合指数、呼吸指数、动脉血氧气分压、患者机械通气时间以及术后胸部并发症情况,包括:胸腔积液、肺部感染、肺不张.结果 干预后,两组患者的氧合指数、呼吸指数、动脉血氧气分压较干预前均明显改善.研究组患者的氧合指数、动脉血氧气分压显著高于对照组,而呼吸指数显著低于对照组(P＜0.05).研究组患者的机械通气时间[(3.03±1.05)d]、呼吸系统并发症发生率(7.50％)显著低于对照组(P＜0.05).结论 体外膈肌起搏治疗联合肺康复训练可显著改心外术后患者的呼吸功能、缩短机械通气时间、降低术后呼吸系统并发症的发生.
Abstract
Objective To explore the effect of extracorporeal diaphragm pacing combined with pulmonary rehabilitation training on respiratory function and respiratory complications in patients after extracardiac surgery.Methods A total of 80 postoperative cardiac surgery patients admitted to the Department of Cardiac Intensive Care of Henan Province Chest Hospi-tal from June 2022 to June 2023 were reviewed.They were divided into a study group and a control group of 40 people each.Patients in both groups received conventional pulmonary rehabilitation training,and the study group received extra-corporeal diaphragmatic pacing therapy on this basis.Oxygenation index,respiratory index,arterial oxygen pressure,pa-tients'mechanical ventilation time,and postoperative thoracic complications,including:pleural effusion,lung infection,and pulmonary atelectasis,were observed and recorded before and after the intervention in the two groups.Results After the intervention,the oxygenation index,respiratory index,and arterial oxygen pressure were significantly improved in both groups compared with the pre-intervention period.Oxygenation index and arterial oxygen pressure were significantly high-er and respiratory index was significantly lower in the study group than those in the control group(P＜0.05).Conclusion Extracorporeal diaphragmatic pacing combined with pulmonary rehabilitation training significantly improves respiratory function,shortens the duration of mechanical ventilation,and reduces the incidence of postoperative respiratorycomplications in patients undergoing extracardiac surgery.
基金项目
河南省医学科技攻关计划联合共建项目(LHGJ20230119)
河南省医学科技攻关计划省部共建备选项目(2018010036)
NETL
NSTL
万方数据