呼吸训练辅助治疗胸腔镜术后肺癌患者胸腔闭式引流的临床效果

摘要/Abstract

摘要： 目的: 研究呼吸训练辅助治疗胸腔镜术后肺癌患者胸腔闭式引流的临床效果。方法: 选取2021年6月至2022年6月本院治疗的152例胸腔镜术后肺癌患者胸腔闭式引流患者作为研究对象,根据治疗方式的不同划分为观察组（120例,系统性呼吸训练辅助治疗）和对照组（45例,常规呼吸训练辅助治疗）。比较两组患者的围手术期指标、疼痛情况、引流管情况及并发症情况。结果: 观察组首次排痰时间、痰鸣音消失时间、咳痰量、镇痛剂应用次数、VAS（24h、48h、72h）、术后24 h引流量、术后24~48 h引流量、引流管拔管时间、住院时间低于对照组,差异具有统计学意义（P<0.05）。观察组呼吸困难、刺激性干咳、并发症种类数均低于对照组（P<0.05）,但是胸痛与对照组差异无统计学意义（P>0.05）。结论: 系统性呼吸训练改变常规呼吸训练的局限性,可促进术后肺癌患者胸腔闭式引流效果,强化咳痰能力,提高肺功能,减少并发症。

关键词: 呼吸训练, 胸腔镜, 肺癌, 胸腔闭式引流

罗莎, 赵容, 王茂, 李新, 周黎. 呼吸训练辅助治疗胸腔镜术后肺癌患者胸腔闭式引流的临床效果[J]. 中国防痨杂志, 2025, 47(S1): 105-109.

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