【摘要】 目的：分析綜合呼吸功能訓練對老年肺腫瘤患者術(shù)后康復效果的影響。方法：選取2014年6月-2016年6月本院收治的老年肺腫瘤手術(shù)患者92例，按照隨機數(shù)字表法將其分為觀察組和對照組，每組各46例。兩組圍術(shù)期均接受常規(guī)護理，在此基礎上觀察組開展綜合呼吸功能訓練。比較兩組干預前后呼吸功能及血氣分析指標，比較兩組術(shù)后并發(fā)癥、胸管留置時間及術(shù)后住院天數(shù)。結(jié)果：術(shù)后7 d，觀察組患者VC%、FVC%、FEV1%、PaO2等指標均優(yōu)于對照組，比較差異均有統(tǒng)計學意義（P<0.05），但兩組PaCO2比較差異無統(tǒng)計學意義（P>0.05）。觀察組術(shù)后并發(fā)癥發(fā)生率為2.17%，明顯低于對照組的15.22%，比較差異有統(tǒng)計學意義（ 字2=4.929，P=0.026）；觀察組患者胸管留置時間、術(shù)后住院天數(shù)均短于對照組，比較差異均有統(tǒng)計學意義（P<0.05）。結(jié)論：綜合呼吸功能訓練有利于老年肺腫瘤患者術(shù)后康復，建議在臨床上推廣。
　　【關(guān)鍵詞】 綜合呼吸功能訓練； 老年患者； 肺腫瘤； 術(shù)后康復
　　Effects of Integrated Respiratory Function Training on Postoperative Rehabilitation of Elderly Lung Cancer Patients/CHENG Bin.//Medical Innovation of China，2018，15（07）：087-090
　　【Abstract】 Objective：To analyze the effect of integrated respiratory function training on postoperative rehabilitation of elderly lung cancer patients.Method：A total of 92 elderly patients with lung cancer treated in our hospital from June 2014 to June 2016 were selected，according to the random number table method，they were divided into observation group and control group，46 cases in each group.Both groups received routine nursing during the perioperative period，and on this basis，the observation group carried out comprehensive respiratory function training.The indexes of respiratory function and blood gas before and after intervention between two groups were compared，and postoperative complications，the retention time of chest tube and postoperative hospital stay between two groups were compared.Result：After operation 7 d，the indexes of VC%，F(xiàn)VC%，F(xiàn)EV1% and PaO2 in observation group were better than those of control group，the differences were statistically significant（P<0.05）；but the PaCO2 of two groups was compared，the difference was not statistically significant（P>0.05）.The incidence of postoperative complications in observation group was 2.17%，which was significantly lower than 15.22% of control group，the difference was statistically significant（ 字2=4.929，P=0.026）.The retention time of the chest tube in observation group and postoperative hospital stay were shorter than those of control group，the differences was statistically significant（P<0.05）.Conclusion：Comprehensive respiratory function training is helpful for the postoperative rehabilitation of elderly lung cancer patients，and it is recommended to be promoted clinically.
　　【Key words】 Integrated respiratory function training； Elderly patients； Lung cancer； Postoperative rehabilitation
　　First-author’s address：Chengdu Sixth People’s Hospital，Chengdu 610051，China

相關(guān)熱詞搜索：術(shù)后 腫瘤 康復 老年 患者