术前与术后呼吸训练对开胸术后胸腔引流效果的比较

目的比较术前呼吸训练与术后呼吸训练对开胸术后胸腔引流的效果,以促进胸腔积液的早期有效排出,提高护理质量。方法将195例开胸术后患者,随机分为观察组98例和对照组97例。观察组术前进行呼吸训练。对照组术后进行呼吸训练。比较两组术后第1、2、3天的胸腔引流量、胸腔引流总量、拔管时间、住院时间及其胸腔引流并发症发生率。结果观察组术后第1、2天的胸腔引流量明显多于对照组,有显著性差异(P0.01)。观察组术后第3天胸腔引流量及胸腔引流总量明显少于对照组,有显著性差异(P0.01)。观察组拔管时间及住院时间明显短于对照组,有显著性差异(P0.01)。观察组胸腔引流并发症发生率明显低于对照组,有显著性差异(P0.01,P0.05)。结论术前呼吸训练可促进开胸术后患者胸腔积液早期有效排出,缩短拔管时间及住院时间,减少并发症发生。

Comparative observation on effect of the preoperative and postoperative cough training on patients with thoracic drainage after thoracic surgery

Objective To observe and compare the effects of the preoperative and postoperative cough training on patients with thoracic drainage after thoracic surgery,in order to promote the early effective eduction of pleural effusion,and improve the quality of nursing. Methods 195 cases of post- thoracotomy patients were randomly divided into the preoperative cough training group（ 98 cases） and the postoperative cough training group（ 97 cases）. The two groups were observed and compared through the pleural drainage on the first day,very next day and third day,the total pleural drainage,the extubation time,the hospitalization time and other thoracic drainage complications,and then carried on the statistical analysis. Results The pleural drainage on the on the first day and the very next day in the observation group was higher than that of control group,the difference was statistically significant（ P 0. 01）. the pleural drainage in the third day and the total pleural drainage in the observation group was significantly less than that of the control group,the difference was statistically significant（ P 0. 01）. The extubation time and hospitalization time in observation group were shorter than that of the control group,the difference was statistically significant（ P 0. 01）. the thoracic drainage complication rate of the observation group was significantly lower than that of the control group,the difference was statistically significant（ P 0. 01,P 0. 05）. Conclusions The preoperative cough training can promote the pleural effusion after thoracotomy to discharge earlily,shorten the extubation and hospitalization time,and reduce complications.