首页|基于快速康复外科理念的呼吸训练对胸腔镜肺叶切除术后患者的效果

基于快速康复外科理念的呼吸训练对胸腔镜肺叶切除术后患者的效果

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目的:综合分析对胸腔镜肺叶切除术后患者实施基于快速康复外科理念的呼吸训练的效果.方法:研究选择 2021 年 4 月—2023 年 4 月于黔西南布依族苗族自治州人民医院行胸腔镜肺叶切除术的 103 例患者,用随机数表法将其分成观察组(55 例)和对照组(48 例).在护理中给予对照组患者常规措施,观察组加以基于快速康复外科理念的呼吸训练.比较两组的术后相关参数(首次下床活动时间、引流管留置时间、出院时间)、呼吸功能锻炼情况(呼吸频率、最大通气量、每分通气量)、并发症情况与住院费用.结果:观察组术后相关参数各项时间指标均比对照组短,差异有统计学意义(P<0.05).两组护理前呼吸功能锻炼情况比较,差异无统计学意义(P>0.05),护理后,观察组最大通气量、每分通气量更高,呼吸频率更低,差异有统计学意义(P<0.05).观察组并发症总发生率与住院费用均较对照组更低,差异有统计学意义(P<0.05).结论:将基于快速康复外科理念的呼吸训练用于胸腔镜肺叶切除术后的效果可观,有利于改善患者的呼吸功能、降低并发症发生率,并可促进术后康复进程.
The Effect of Respiratory Training Based on the Concept of Rapid Rehabilitation Surgery on Patients after Thoracoscopic Lobectomy
Objective:To comprehensively analyze the effect of respiratory training based on the concept of rapid recovery surgery on patients after thoracoscopic lobectomy.Method:From April 2021 to April 2023,103 patients underwent thoracoscopic lobectomy in the People's Hospital of Qiansouthwest Buyi and Miao Autonomous Prefecture were divided into observation group(55 cases)and control group(48 cases)by random number table method.The patients in the control group were given routine measures in nursing care,and the observation group received respiratory training based on the concept of rapid rehabilitation surgery.Postoperative parameters(time to get out of bed for the first time,time to detain the drainage tube,time to leave hospital),respiratory function exercise(respiratory frequency,maximum ventilation volume,minute ventilation volume),complications and hospitalization costs of the two groups were compared.Result:The time indexes of postoperative relevant parameters in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the respiratory function exercise between the two groups before nursing(P>0.05).After nursing,the observation group had higher maximum and minute ventilation volume,and lower respiratory rate,the differences were statistically significant(P<0.05).The total incidence of complications and hospitalization costs in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The application of respiratory training based on the concept of rapid recovery surgery in thoracoscopic lobectomy has significant effects,which is beneficial for improving patient respiratory function,reduce the incidence of complications,and promoting postoperative recovery.

Concept of rapid rehabilitation surgeryRespiratory trainingThoracoscopeLobectomyRespiratory function

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黔西南布依族苗族自治州人民医院 贵州 兴义 562400

快速康复外科理念 呼吸训练 胸腔镜 肺叶切除术 呼吸功能

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(25)