术前肺功能评估对脊柱侧弯患者围术期处理的意义

目的 :通过对脊柱侧弯患者术前肺功能的评估 ,探讨其对脊柱侧弯矫形术围术期处理的意义。方法 :术前测定 10 0例胸段侧弯患者的肺功能 ,分析不同肺功能状态对该类手术患者围术期各相关因素的影响。结果 :脊柱侧弯侧凸Cobb角大小影响患者肺功能 ;不同肺功能状态对患者围术期呼吸管理、拔管时间及ICU滞留天数有显著影响 ;对手术时间及术中出血量等影响不显著。结论 :对欲行脊柱侧弯矫形术的患者 ,恰当的术前肺功能评估有利于指导围术期处理 ,可以使肺功能障碍者顺利渡过围术期。

Effect of evaluating patients' preoperative pulmonary function on perioperative management of scoliosis patients

Objective To evaluate the effects of preoperati ve pulmonary function on perioperative management of scoliosis patients. Me t hods A total of 100 patients undergoing orthopaedic operation were stud ied.By detecting their preoperative pulmonary function,the influence of the preo perative pulmonary function on some relative factors were analyzed in perioperat ive management. Results The Cobb angle of scoliosis affected p atients' pulmonary function; On the other hand, patients' preoperative pulmonary function had marked influence on perioperative airway management, time of extuba t ion and duration in ICU; Patients' preoperative pulmonary function had no close re lationship with the duration of surgery and estimated blood loss. Conclu sion Apt preoperative pulmonary function evaluation is in favor of g uidance to perioperative management and make it easier for patients with pulmon ary dysfunction to get through the perioperative period.