本文選題：腹部手術 + 呼吸功能鍛煉�。� 參考：《中華醫(yī)院感染學雜志》2017年19期

【摘要】：目的探討呼吸功能鍛煉在老年腹部手術患者中的臨床應用價值。方法選取2014年1月-2015年12月于醫(yī)院行腹部手術的100例老年患者作為臨床研究對象,隨機分為研究組和對照組,各50例。對照組老年腹部手術患者采用手術常規(guī)護理干預,研究組老年腹部手術患者則在對照組常規(guī)護理基礎之上給予呼吸功能鍛煉的強化干預,并分別比較和分析兩組患者的肺部感染發(fā)生情況,肺功能變化情況,免疫細胞因子變化情況,T細胞亞群變化情況。結果研究組患者肺部感染率為6.00%顯著低于對照組20.00%(P0.05);治療后研究組患者用力肺活量(FVC)(3.15±0.18)L,第1秒用力呼氣容積率(FEV1)(2.80±0.51)L,最大呼氣流量(PEF)(4.89±0.90)L/S較對照組(2.84±0.21)L,(2.35±0.45)L和(4.15±0.83)L/S明顯提高;治療后研究組患者免疫細胞因子白細胞介素-6(IL-6)為(203.17±35.37)ng/L,IL-8(27.16±2.04)ng/L,腫瘤壞死因子-α(TNF-α)(13.02±1.15)ng/L較對照組(260.84±37.53)ng/L,(32.57±2.81)ng/L和(19.34±1.62)ng/L明顯降低;治療后研究組患者T細胞亞群CD4~+(40.74±5.02)%,CD4~+/CD8~+(1.54±0.32)較對照組CD4~+(29.50±4.13)%,CD4~+/CD8~+(1.04±0.21)明顯提高,而CD8~+(25.42±4.10)%較對照組CD8~+(28.35±4.42)%明顯降低;差異均具有顯著性意義(P均0.05)。結論呼吸功能鍛煉對于改善老年腹部手術患者肺功能,降低肺部感染率及提高免疫功能均具有十分重要的臨床意義。
[Abstract]:Objective to explore the clinical value of respiratory function exercise in elderly patients undergoing abdominal surgery.Methods 100 elderly patients undergoing abdominal surgery from January 2014 to December 2015 were randomly divided into study group and control group (50 cases each).The elderly patients in the control group were treated with routine nursing intervention, while the elderly patients in the study group were given intensive intervention of respiratory function exercise on the basis of routine nursing in the control group.The incidence of pulmonary infection, the changes of pulmonary function, and the changes of immune cytokines were compared and analyzed in the two groups.Results the pulmonary infection rate in the study group was significantly lower than that in the control group (P 0.05), the forced vital capacity of the study group was 3.15 鹵0.18 L, the forced expiratory volume in the first second was 2.80 鹵0.51L, the maximal expiratory flow rate was 4.89 鹵4.89 鹵0.90)L/S, and that in the control group was 2.84 鹵0.21 L, 2.35 鹵0.45 and 4.15 鹵0.83)L/S, respectively.娌葷枟鍚庣爺絀剁粍鎮(zhèn)ｈ，

本文編號：1749212