中国康复理论与实践2017，Vol.23Issue(6)：709-713,5.DOI:10.3969/j.issn.1006-9771.2017.06.019
早期呼吸训练器治疗对冠脉搭桥术后低氧血症患者肺部并发症的影响
Effect of Early Respiratory Exerciser Training on Respiratory Function of Patients with Hypoxemia after Coro-nary Artery Bypass Grafting
摘要
Abstract
Objective To observe the efficacy of early pulmonary rehabilitation training on respiratory function of patients with hypox-emia after coronary artery bypass grafting. Methods From February, 2013 to September, 2016, 53 patients with hypoxemia after coronary ar-tery bypass grafting were randomly divided into control group (n=25) and observation group (n=28). Both of them received routine therapy, while the observation group received pulmonary rehabilitation training in addition. Results Three days after extubation, the forced expirato-ry volume in one second (FEV1) (measured) and FEV1/forced vital capacity (FVC) were higher in the observation group than in the control group (t>3.590, P<0.01), while the level of PaO2 was higher (t=5.824, P<0.001); the FEV1 (measured), FEV1(measured/ predicted) and FEV1/FVC decreased in both groups (F>1.044, P<0.05). The hospital stay was shorter (t=―2.138, P=0.037). The level of PaO2 was the high-est one day after extubation among three time points in both groups (P<0.001). No significantly difference was observed in mechanical ven-tilation time and ICU stay between two groups (P>0.05). Conclusion Early respiratory exerciser training could improve the respiratory func-tion of patients with hypoxemia after coronary artery bypass grafting, shorten hospital stay.关键词
冠脉搭桥手术/低氧血症/呼吸训练器/肺康复Key words
coronary artery bypass graft/hypoxemia/respiratory exerciser/pulmonary rehabilitation分类
医药卫生引用本文复制引用
兰蕴平,吴娅秋,黎嘉嘉,刘蓉安,罗小秀,黄晓波..早期呼吸训练器治疗对冠脉搭桥术后低氧血症患者肺部并发症的影响[J].中国康复理论与实践,2017,23(6):709-713,5.基金项目
四川省医学会医学科研课题计划项目(No. S16072). （No. S16072）
