呼吸训练器对老年食管癌切除患者术后肺功能及肺部并发
症影响分析
赵海红;王瑞云;卓承玉;杜梅桂;徐亮;黄海玲;李薇薇
【期刊名称】《中国医学前沿杂志(电子版)》 【年(卷),期】2017(009)009
【摘要】Objective To explore the effect of respiratory exerciser on the recovery of pulmonary function in elderly patients after esophagectomy. Method 237 patients, older than 60 years, underwent esophagectomy in our department from January 2014 to January 2017 were enrolled in this study. They were randomly divided into observation group (120 cases) and control group (117 cases). All patients began cough exercise and respiratory rehabilitation 1 week before surgery. Control group patients received conventional sputum excretion and respiratory rehabilitation, observation group patients received respiratory rehabilitation by using tri-ball respiratory exerciser. Pulmonary complications were assessed by recording pulmonary disability and grading scores using Utrecht pulmonary scoring system (UPSS). The pulmonary function, including forced expiratory volume in one second (FEV1), forced vital capacity (FVC), FEV1% predicted value, FEV1/FVC, peak expiratory flow (PEF), and PEF%predicted value were test 2 weeks after surgery and compared with the preoperative results. 6 minutes walk test (6MWT) were measured 1 week before surgery and 2 weeks