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早期呼吸训练对冠脉搭桥术后患者肺功能恢复的效果评价
引用本文:汪天虎,韦华,顾成雄. 早期呼吸训练对冠脉搭桥术后患者肺功能恢复的效果评价[J]. 重庆医科大学学报, 2004, 29(4): 513-514,523
作者姓名:汪天虎  韦华  顾成雄
作者单位:重庆医科大学第二临床学院心胸外科,重庆,400010;首都医科大学附属北京安贞医院心外科,北京,100029
摘    要:目的:探讨冠脉搭桥术后(OPCAB)患者早期使用呼吸训练器对改善肺功能防止肺部并发症的效果.方法:随机将80例不停跳冠脉搭桥患者分为呼吸训练(A)和对照(B)两组进行治疗.结果:呼吸训练组最大吸气量在呼吸训练后第1天与对照组有显著差异(P<0.05),第2天至第6天有极显著差异(P<0.01);呼吸训练3天内最大吸气量增加尤为明显,两组有显著差异(P<0.05),肺膨胀不全的发生率亦明显减少.结论:术后早期使用呼吸训练器对改善肺功能防止肺部并发症,促进患者康复有良好的效果.为老年手术患者康复提供了一种有效的治疗方法.

关 键 词:冠脉搭桥术  呼吸训练器  肺功能  肺部并发症  康复
文章编号:0253-3626(2004)04-0513-02

Earlier application of the breathing volumetric exerciser to improve the lung function of patient after OPCAB
WANG Tianhu,et al. Earlier application of the breathing volumetric exerciser to improve the lung function of patient after OPCAB[J]. Journal of Chongqing Medical University, 2004, 29(4): 513-514,523
Authors:WANG Tianhu  et al
Abstract:Objective:To study the earlier application of the breathing volumetric exerciser to improve the lung function and prevent the respiratory complications of the postoperative patient of OPCAB.Methods:80 patients were randomly divided into following groups:group A,with breathing exercise;group B, control group.Results:Compared with group B the maximal inspiratory capacity in group A increased significantly(P< 0.05) on first day,and (P<0.05) during 2nd-6th day,especially in three days.Meanwhile,the insufficiency of the lung inflation decreased significantly (P<0.05).Conclusion:The earlier application of the breathing volumetric exerciser will help improve the lung function and prevent the respiratory complications and promote the patient to recover.This provides the effective postoperative treatment for the aged.
Keywords:Breathing volumetric exerciser  OPCAB  Lung function  Respiratory complications  Recover
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