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目的:观察术前综合干预对开胸手术患者肺功能的改善作用。方法:选择2012年5月-2013年9月就诊于甘肃省肿瘤医院胸外科拟行开胸手术的低肺功能肺癌、食管癌及贲门癌患者60例,按照就诊顺序分为对照组和治疗组,对照组给予缩唇呼吸、深呼吸、阻力深呼吸训练治疗2周,治疗组在对照组的基础上给予氨茶碱、氨溴索、氧化雾化治疗2周。治疗前后分别进行肺功能检查及综合量化评价。结果:对照组治疗前后肺功能差异具有显著性的意义(P<0.05),治疗组治疗前后肺功能差异具有非常显著性的意义(P<0.01),治疗组与对照组治疗前肺功能差异无统计学意义、治疗后肺功能差异具有非常显著性的意义(P<0.01)。结论:对开胸手术患者实行术前肺功能综合干预,利于改善患者肺功能。
Objective: To observe the effect of comprehensive preoperative intervention on pulmonary function in patients undergoing thoracotomy. Methods: From May 2012 to September 2013, 60 patients with low-lung function lung cancer, esophageal cancer and cardiac cancer who underwent thoracotomy in Department of Thoracic Surgery, Cancer Hospital of Gansu Province were divided into control group and treatment group The control group was given liposuction respiration, deep breathing, resistance deep breathing training for 2 weeks, the treatment group was given aminophylline, ambroxol on the basis of the control group, and the oxidative atomization therapy for 2 weeks. Before and after treatment, pulmonary function tests and comprehensive quantitative evaluation. Results: The difference of pulmonary function before and after treatment in the control group was significant (P <0.05). The difference of pulmonary function before and after treatment in the treatment group was significant (P <0.01). There was no difference in pulmonary function between the treatment group and the control group before treatment Statistical significance, pulmonary function difference after treatment has a very significant significance (P <0.01). Conclusion: The preoperative pulmonary function intervention in patients undergoing thoracotomy is conducive to improving pulmonary function.