2023年4月第30卷第4期呼吸训练在肺叶切除术患者围术期护理中的应用及对患者肺功能的影响赵彩红1，李培勤2（1南阳市中心医院胸外科综合病区，河南南阳473000；2南阳市骨科医院彩超室，河南南阳473000）【摘要】目的探讨呼吸训练在肺叶切除术患者围术期护理中的应用效果。方法80例肺叶切除术患者随机分为两组，对照组给予围术期常规护理，观察组在对照组基础上给予呼吸训练。比较两组的手术指标、肺功能及术后并发症。结果观察组的拔管时间、术后首次步行时间及住院时间均短于对照组，护理后的FVC、FEV1、FEV1／FVC均高于对照组，术后并发症总发生率低于对照组（P＜0．05）。结论围术期呼吸训练可加快肺叶切除术患者的康复，有效改善患者肺功能，降低患者并发症发生率。【关键词】呼吸训练；肺叶切除术；围术期护理；肺功能中图分类号：R473.6文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.04.0539ApplicationofRespiratoryTraininginPerioperativeNursingofPatientsUndergoingLobectomyandItsImpactonPatients'PulmonaryFunction//ZHAOCaihong1,LIPeiqin2(1ComprehensiveWardofThoracicSurgeryDeparment,NanyangCentralHospi-tal,Nanyang473000,China;2ColorDopplerUltrasoundRoom,NanyangOrthopaedicHospital,Nanyang473000,China)[Abstract]ObjectiveToexploretheapplicationeffectofrespiratorytraininginperioperativenursingofpatientsundergoinglobectomy.Methods80patientsundergoinglobectomywererandomlydividedintotwogroups.Thecontrolgroupreceivedroutineperioperativenursing,andtheobservationgroupreceivedrespiratorytrainingonthebasisofthecontrolgroup.Thesurgicalindicators,pulmonaryfunctionandpostoperativecomplicationswerecomparedbetweenthetwogroups.ResultsTheextubationtime,postoperativefirstwalkingtimeandhospitalizationtimeoftheobservationgroupwereshorterthanthoseofthecontrolgroup,theFVC,FEV1andFEV1/FVCafternursingwerehigherthanthoseofthecontrolgroup,andthetotalincidenceofpostoperativecomplicationswaslowerthanthatofthecontrolgroup(P<0.05).ConclusionsPerioperativerespiratorytrainingcanacceleratetherecoveryofpatientsundergoinglobectomy,effectivelyimprovepulmonaryfunctionandreducetheincidenceofcomplications.[Keywords]Respiratorytraining;Lobectomy;Perioperativenursing...
