首页|呼吸训练器对胸腹腔镜食道癌根治术后患者肺功能及排痰效果的影响

呼吸训练器对胸腹腔镜食道癌根治术后患者肺功能及排痰效果的影响

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目的 探讨呼吸训练器对行胸腹腔镜食道癌根治术治疗后患者肺功能及排痰效果的影响.方法 选取 2021 年 1 月至 2022 年 6 月医院收治的 88 例经胸腹腔镜食道癌根治术治疗的患者作为研究对象,按照随机数字表法分为对照组与观察组,每组 44 例.对照组予常规呼吸锻炼,观察组在对照组基础上采用呼吸训练器锻炼,均干预 7 d.比较两组干预前后肺功能指标[第 1 秒用力呼气容积(FEV1)、用力肺活量(FVC)]、干预后日均排痰量及术后肺部并发症发生率.结果 干预后,两组FEV1 和FVC均高于干预前,且观察组均高于对照组(P<0.05).观察组干预后日均排痰量多于对照组(P<0.05).观察组术后肺部并发症发生率低于对照组(P<0.05).结论 呼吸训练器用于胸腹腔镜食道癌根治术后较单纯常规呼吸锻炼更有优势,不仅可改善患者肺功能,且可加快痰液排出,降低肺部并发症发生风险.
The Impact of Breathing Trainer on Lung Function and Sputum Clearance in Patients after Thoracoabdominal Laparoscopic Esophageal Cancer Radical Surgery
Objective To investigate the impact of a breathing trainer on lung function and sputum clearance in patients after thoracoabdominal laparoscopic esophageal cancer radical surgery.Methods A total of 88 patients who underwent thoracoabdominal laparoscopic esophageal cancer radical surgery from January 2021 to June 2022 were selected as the study subjects.They were randomly divided into two groups.The conventional group received routine respiratory exercises,while the observation group received respiratory training using a breathing trainer in addition to the routine exercises.The lung function indicators[forced expiratory volume in 1 second(FEV1)and forced vital capacity(FVC)]before and after intervention,daily sputum clearance and postoperative pulmonary complications were compared between two groups.Results After intervention,both FEV1 and FVC in both groups were higher than before intervention,and the observation group were higher than the conventional group(P<0.05).The observation group had a higher daily sputum clearance than the conventional group,the incidence of postoperative pulmonary complications was lower than in the conventional group(P<0.05).Conclusions The use of a breathing trainer after thoracoabdominal laparoscopic esophageal cancer radical surgery has advantages over simple routine respiratory exercises.It not only improves lung function in patients but also accelerates sputum clearance and reduces the risk of pulmonary complications.

Esophageal cancer radical surgeryThoracoabdominal laparoscopyBreathing trainerLung functionSputum clearancePulmonary complications

谢燕敏、朱雅君、谢赛州、孔敏

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浙江省台州医院(浙江台州 317000)

食道癌根治术 胸腹腔镜 呼吸训练器 肺功能 排痰效果 肺部并发症

浙江省台州市科技计划项目

1701KY25

2024

医疗装备
国家食品药品监督管理局北京医疗器械质量监督检验中心 北京市医疗器械检验所

医疗装备

影响因子:0.339
ISSN:1002-2376
年,卷(期):2024.37(4)
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