医用多功能胸带在胸腹腔镜联合食管癌围术期的临床应用

目的对胸腹腔镜联合食管癌切除术患者围术期使用带有呼吸功能训练装置的医用多功能胸带，探讨该胸带对患者术后肺部并发症的影响。 方法选取2019年3月至2021年1月在我院行胸腹腔镜联合食管癌根治术患者62例，随机分为对照组34例和观察组28例，对照组术后使用传统多头胸带，观察组术后使用我院研发的医用多功能胸带，观察两组患者术前1 d和术后第7 d的血氧饱和度、肺功能指标，以及术后首次下床时间、日活动总量、排气排便、肺部并发症(肺不张、肺部感染、皮下气肿)的情况。 结果观察组患者术前肺功能指标略高于对照组(P<0.05)，术后第7 d患者肺功能最大通气量(MVV)、用力肺活量(FVC)，1秒用力呼气量(FEV₁)指标显著优于对照组(P<0.01)，活动后末梢血氧饱和度高于对照组(P<0.05)；观察组患者首次下床时间和排气排便时间均早于对照组(P<0.05)，日活动总量显著高于对照组(P<0.01)，术后肺部并发症低于对照组(P<0.05)。 结论胸腹腔镜联合食管癌切除术患者围术期使用医用多功能胸带可改善患者肺功能，促进患者早期下床活动，增加活动总量，并降低肺部并发症的发生。

Clinical application of multifunctional thoracic band in thoracic laparoscopy combined with esophageal cancer during perioperative period

ObjectiveTo analyze the effect of multifunctional thoracic band on postoperative pulmonary complications in patients with thoracic laparoscopy combined with esophageal cancer during perioperative period. MethodsA total of 62 patients who underwent thoracoscopic combined radical resection of esophageal cancer in our department from March 2019 to January 2021 were randomly divided into control group 34 cases and observation group 28 cases. The control group received traditional multi-horacic band after surgery, and the observation group received medical multi-unctional thoracic band developed by our hospital after surgery. Blood oxygen saturation, lung function indexes, time to get out of bed for the first time, total daily activity, exhaust and defecation, pulmonary complications were observed in 2 groups 1 d before surgery and 7 d after surgery. ResultsThe preoperative pulmonary function indexes of observation group (P<0.05), maximal volume of pulmonary function (MVV), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV₁) on postoperative day 7 (P<0.01), and peripheral blood oxygen saturation after activity were higher than those in control group (P<0.05). The first time to get out of bed and the time to exhaust and defecate in the observation group were earlier than the control group (P<0.05), the total daily activity was significantly higher than the control group (P<0.01), and the postoperative pulmonary complications were lower than the control group (P<0.05). ConclusionsPerioperative use of multifunctional thoracic band in patients undergoing thoracoscopy combined with esophagectomy can improve lung function, promote early ambulation, increase total activity, and reduce the incidence of pulmonary complications.