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护理学报 ›› 2021, Vol. 28 ›› Issue (21): 71-74.doi: 10.16460/j.issn1008-9969.2021.21.071

• 临床护理：外科护理 • 上一篇    下一篇

主动呼吸循环技术对非小细胞肺癌手术患者心肺功能影响研究

都菁a, 邓海波b, 刘磊a, 李琳凤a, 孙建华c   

  1. 中国医学科学院北京协和医学院北京协和医院 a.胸外科; b.心外科; c.重症医学科,北京 100730
  • 收稿日期:2021-03-10 出版日期:2021-11-10 发布日期:2021-12-13
  • 通讯作者: 邓海波（1974-）,女,北京人,本科学历,副主任护师,护士长。E-mail:zhiyou_haibo@126.com
  • 作者简介:都菁（1979-）,女,北京人,本科学历,主管护师,护士长。
  • 基金资助:
    北京市科技计划项目（Z201100005520007）; 北京协和医院护理部院内课题（XHHLKY201805）

Effect of Active Cycle of Breathing Technique on Perioperative Cardiopulmonary Function of Patients with Non-Small Cell Lung Cancer

DU Jinga, DEND Hai-bob, LIU Leia, LI Lin-fenga, SUN Jian-huac   

  1. a. Dept. of Thoracic Surgery;
    b. Dept. of Cardiac Surgery;
    c. Dept. of Critical Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China
  • Received:2021-03-10 Online:2021-11-10 Published:2021-12-13

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摘要： 目的 探讨主动呼吸循环技术对非小细胞肺癌患者术后心肺功能的影响。方法 选取2019年1月1日—12月31日入住北京协和医院胸外科的非小细胞肺癌患者作为研究对象,按住院时间先后分为对照组105例、观察组106例。对照组术后采用传统肺部物理治疗措施指导患者进行呼吸功能锻炼,观察组在此基础上加用主动呼吸循环技术的锻炼。比较2组患者的一秒用力呼气容积、用力肺活量、呼气峰值流速、6 min步行试验、首次咳痰时间、肺部并发症发生率等指标的差异。结果 患者术后肺功能情况（包括一秒用力呼气容积、用力肺活量、呼气峰值流速）以及6 min步行试验,在出院当天和术后第30天观察组均优于对照组（P<0.05）;观察组术后首次排痰时间、管留置时间以及术后住院天数较对照组明显缩短,差异均有统计学意义（P<0.05）。结论 主动呼吸循环技术能够明显改善非小细胞肺癌手术后患者心肺功能,促进患者早期高效清除患者气道内分泌物,缩短胸管留置时间,减少肺部并发症发生率,促进患者快速康复。

关键词: 非小细胞肺癌, 呼吸功能锻炼, 主动呼吸循环技术, 心肺功能, 肺部并发症

Abstract: Objective To explore the effects of active cycle of breathing technique (ACBT) on postoperative cardiopulmonary function in patients with non-small cell lung cancer (NSCLC). Methods NSCLC patients who were admitted to the Department of Thoracic Surgery of Peking Union Medical College Hospital from January 1, 2019 to December 31, 2019 were selected and divided into control group (n=105) and observation group (n=106) according to the order of hospitalization. Traditional lung physical therapy was adopted in the control group to instruct patients to exercise respiratory function after operation, and in the observation group ACBT together with traditional therapy was applied. The difference of forced expiratory volume (FEV1), forced vital capacity (FVC), peak expiratory flow (PEF), 6-minute walk test (6MWT), first expectoration time, pulmonary complications and other indicators were compared between the two groups. Results The postoperative lung function of patients in observation group (including FEV1, FVC and PEF) and the 6MWT were superior to those in the control group on the day of discharge and on the 30th day after operation(P<0.05). The first expectoration time of the observation group,the chest tube retention time and postoperative hospital stay were significantly shorter in the observation group than those in the control group(P<0.05). Conclusion ACBT can significantly improve the cardiopulmonary function of patients after non-small cell lung cancer surgery, promote early and efficient removal of patients' airway secretions, shorten chest tube retention time, reduce the incidence of pulmonary complications, and promote rapid recovery of patients.

Key words: non-small cell lung cancer, respiratory function exercise, active cycle of breathing technique, cardiopulmonary function, pulmonary complication

中图分类号: 

  • R473.6
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