赵海红 1王瑞云 1卓承玉 1杜梅桂 1徐亮 1黄海玲 1李薇薇1
作者信息
- 1. 海南医学院第二附属医院 胸外科,海口570311
- 折叠
摘要
Abstract
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 after surgery. Result The incidence of postoperative respiratory dysfunction of observation group was significantly lower than control group (χ2=9.934, P=0.002). On the first day after surgery, the proportion of patients with UPSS score ≤ 1 point in observation group was significantly more than that in control group (Z=-3.824, P=0.000). On the second, third day after surgery, the proportion of patients with UPSS score ≤ 1 point in observation group was significantly higher than that in control group, but there were no significant differences between the two groups (P > 0.05). The levels of FEV1, FEV1%predicted value, FEV1/FVC, PEF and PEF%predicted value of the two groups were significantly lower than that before surgery (P<0.05). The levels of FEV1, FEV1%predicted value, FEV1/FVC, PEF, PEF%predicted value of observation group were significantly higher than control group after surgery (P<0.05). The distances of 6MWT distance of the two groups were significantly reduced after surgery (P < 0.05), and 6MWT distance of observation group were significantly longer than that of control group (t=9.712, P=0.000). Conclusion The use of respiratory training apparatus for respiratory function exercise can reduce the incidence of postoperative complications, improve lung function and promote early recovery of patients with esophageal cancer resection.关键词
食管癌切除术/呼吸功能锻炼/呼吸训练器/肺部并发症Key words
Esophagectomy/Respiratory exercise/Respiratory exerciser/Pulmonary complications
