中国体外循环杂志2017，Vol.15Issue(2)：96-99,4.DOI:10.13498/j.cnki.chin.j.ecc.2017.02.08
术前呼气阻力训练对体外循环冠状动脉旁路移植术患者围术期肺功能的影响
Effects of preoperative positive expiratory pressure breathing exercises on peri-operative pulmonary function in patients undergoing coronary artery bypass graft
摘要
Abstract
Objective To investigate the efficacy of preoperative positive-expiratory-pressure (PEP) breathing on periopera-tive pulmonary function in patients undergoing coronary artery bypass graft ( CABG ) . Methods Between January 2016 and August 2016, 110 patients referred for elective CABG surgery at department of cardiovascular surgery, General Hospital of PLA were enrolled and randomly assigned to test group and control group which received PEP breathing and regular deep breathing exercises respectively before surgery. Pulmonary function test were performed at baseline, the day before surgery and the sixth postoperative day (POD6). Results VC %、VT%、FVC%、FEV1% and PEF% were significantly reduced in both test and control groups( P<0.017) on POD6 and were similar between the two groups. The change of VT% and PEF% was significant on preoperative day 1 and postoperative day 6, Interaction was seen in PEF% differently in different risk stratification. Conclusion Preoperative PEP breathing exercises could im-prove perioperative pulmonary function, especially in patients with high-risk of PPCs.关键词
呼气阻力训练/深呼吸训练/冠状动脉旁路移植术/术后肺部并发症/术后康复Key words
Positive-expiratory-pressure breathing exercises/Deep breathing exercises/Coronary artery bypass graft/Postop-erative pulmonary complications/Postoperative rehabilitation引用本文复制引用
丁艳琼,王建荣,于亚群..术前呼气阻力训练对体外循环冠状动脉旁路移植术患者围术期肺功能的影响[J].中国体外循环杂志,2017,15(2):96-99,4.基金项目
解放军总医院科研扶持基金(2016FC-TSYS-1019) （2016FC-TSYS-1019）
