Effect of active respiratory circulation technique on respiratory function in stroke patients after decompressive craniectomy
Objective To study the effect of active respiratory circulation technique on respiratory function in stroke patients after decom-pressive craniectomy.Methods A total of 74 stroke patients admitted to our hospital from January 2022 to December 2023 who underwent decom-pressive craniectomy were divided into observation group and control group according to random number table method,with 37 cases in each group.The control group received conventional treatment,and the observation group was combined with active breathing and circulation technology on the basis of the control group,and the treatment lasted for 4 weeks.The changes of the arterial partial pressure of carbon dioxide(PaCO2),arterial partial pressure of oxygen(PaO2),blood oxygen saturation(SaO2),forced vital capacity(FVC),peak expiratory flow rate(PEF),maximum volume per minute(MVV)at before and after treatment and complication rate were compared between the two groups.Results After treatment,the PaCO2 in the ob-servation group was(45.11±5.83)mmHg,which were lower than that in the control group(50.28±6.12)mmHg,the PaO2 and SaO2 were(64.30±7.68)mmHg and(98.82±0.61)%,which were higher than those in the control group(57.21±6.35)mmHg,(97.46±0.79)%,with statistical significance(P<0.05).After treatment,the FVC,PEF and MVV in observation group were(2.45±0.27)L,(335.60±31.37)L/min and(91.37±6.03)L/min,which were higher than those in the control group(2.20±0.23)L,(306.81±34.15)L/min and(83.26±6.71)L/min,with statistical significance(P<0.05).During treatment,the total incidence of pulmonary infection in the observation group was 2.70%,which lower than that in the control group(16.22%),with statistical significance(P<0.05).The total complication rate of observation group was 5.41%,which was lower than the control group 21.62%(P<0.05).Conclusion Active respiratory circulation technique is effective in patients with stroke after decompressive craniotomy and can improve their respira-tory function.
StrokeDecompressive craniectomyActive respiratory circulation techniqueRespiratory functionBlood gas analysisLung function