|本期目录/Table of Contents|

[1]黄 莹,吕,妍,等.主动呼吸循环技术对胸部创伤患者肺功能康复的影响[J].中华肺部疾病杂志,2021,(06):749-752.[doi:10.3877/cma.j.issn.1674-6902.2021.06.009]
　Huang Ying,LV Yan,Wang Dongmei..Effect of active respiratory circulation technique on pulmonary function rehabilitation in patients with chest trauma[J].,2021,(06):749-752.[doi:10.3877/cma.j.issn.1674-6902.2021.06.009]
点击复制

主动呼吸循环技术对胸部创伤患者肺功能康复的影响(PDF)

《中华肺部疾病杂志》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2021年06期
页码:
749-752
栏目:
论著
出版日期:
2021-12-20

文章信息/Info

Title:
Effect of active respiratory circulation technique on pulmonary function rehabilitation in patients with chest trauma
作者:
黄 莹1; 吕; 妍1; 王冬梅2
200433 上海,海军军医大学第一附属医院上海市长海医院生殖医学中心1、门诊部2
Author(s):
Huang Ying1;  LV Yan1;  Wang Dongmei2.
1Center of Reproductive Medicine, Shanghai Changhai Hospital, The First Affiliated Hospital of Naval Military Medical University, Shanghai 200433, China; 2Department of Outpatient, Shanghai Changhai Hospital, The First Affiliated Hospital of Naval Military Medical University, Shanghai 200433, China
关键词:
主动呼吸循环技术;  胸部创伤;  康复训练;  肺功能康复
Keywords:
Active respiratory circulation technique;  Chest trauma;  Rehabilitation training;  Recovery of lung function
分类号:
R563
DOI:
10.3877/cma.j.issn.1674-6902.2021.06.009
摘要:
目的 分析主动呼吸循环技术对胸部创伤患者肺功能康复的影响。方法 选择2018年1月到2020年9月在我院治疗的70例胸部创伤患者,随机分为观察组36例、对照组34例。对照组给予常规康复训练治疗,观察组给予主动呼吸循环技术治疗。比较两组拔管时间、住院时间、1秒用力呼气容积(FVE1)、用力肺活量(FVC)及呼气峰流速(PEF)、呼吸频率、最大通气量及时间通气量、SpO2、PaO2及并发症发生情况。结果 观察组拔管时间、住院时间均显著低于对照组(P<0.05); 与干预前比较,观察组和对照组FVE1、FVC及PEF检验结果比较无显著差异; 干预后,观察组和对照组FVE1、FVC及PEF均随着时间的推移而升高,观察组高于对照组(P<0.05); 与干预前比较,两组呼吸频率、最大通气量及时间通气量检验结果比较无显著差异; 干预后,两组呼吸频率均随着时间的推移而升降低,观察组低于对照组,最大通气量及时间通气量均随着时间的推移而升高,观察组高于对照组(P<0.05); 与干预前比较,观察组和对照组SpO2、PaO2检验结果比较无显著差异; 干预后,观察组和对照组SpO2、PaO2均随着时间的推移而升高,且观察组高于对照组,差异有统计学意义(P<0.05); 治疗后,观察组并发症发生情况显著低于对照组(P<0.05)。结论 在胸部创伤患者中应用主动呼吸循环技术效果显著,可有效改善患者肺功能康复。
Abstract:
Objective To analyze the effect of active respiratory circulation technique on pulmonary function rehabilitation in patients with chest trauma. Methods A total of 70 patients with chest trauma who received treatment in our hospital from January 2018 to September 2020 were selected and randomly divided into observation group 36 cases and control group 34 cases. The control group was treated with routine rehabilitation training, and the observation group was treated with active respiratory circulation technique. The extubation time, hospital stay, forced expiratory volume(FVE1), forced vital capacity(FVC), peak expiratory flow rate(PEF), respiratory rate, maximal and temporal ventilatory volume, SpO2, PaO2 and the incidence of complications were compared between the two groups. Results The extubation time and hospitalization time in observation group were significantly lower than those in control group(P<0.05). There were no significant differences in FVE1, FVC and PEF between the observation group and the control group compared with before intervention. After intervention, FVE1, FVC and PEF in the observation group and the control group increased over time, and the observation group was higher than the control group(P<0.05). Compared with before intervention, there were no significant differences in respiratory rate, maximum chase volume and time volume between the two groups. After intervention, the respiratory rate of the two groups increased and decreased with time, and the observation group was lower than the control group, the maximum chase volume and time volume increased with time, and the observation group was higher than the control group(P<0.05). Compared with before intervention, SpO2 and PaO2 test results of observation group and control group showed no significant difference. After intervention, SpO2 and PaO2 increased over time in the observation group and the control group, and the observation group was higher than the control group(P<0.05). After treatment, the incidence of complications in observation group was significantly lower than that in control group(P<0.05). Conclusion The application of active respiration and circulation technique in patients with chest trauma has significant effect and can effectively improve the rehabilitation of lung function.

参考文献/References:

1 张 兰, 余坷坪, 胡维书, 等. 强化胰岛素治疗对严重胸部创伤伴应激性高血糖患者免疫功能及预后的影响[J]. 中华创伤杂志, 2019, 35(10): 924-929.
2 张 亮, 王 波, 范志强, 等. 保护性肺通气在重症胸部创伤合并急性呼吸窘迫综合征中的临床应用效果[J]. 中国医药导刊, 2019, 194(12): 19-23.
3 Rielage T. Rarely, often unnoticed and deadly: blunt chest trauma with a main bronchus rupture in daily accidents[J]. Der Notarzt, 2019, 35(2): 76-78.
4 江吕泉, 杨 乐, 郑 建, 等. 损伤控制在严重胸部创伤合并四肢和骨盆骨折救治中的应用价值[J]. 武警医学, 2020, 31(5): 422-425.
5 柴文茹, 国春花, 崔 怡, 等. 呼吸抗阻训练联合主动循环呼吸技术在下颈髓损伤患者护理中的应用[J]. 中华现代护理杂志, 2020, 26(19): 2574-2578.
6 林静静, 林晓克, 陈传帮, 等. 主动呼吸循环技术在肺癌患者围手术期气道管理中的应用研究[J]. 中国全科医学, 2018, 21(z1): 4-6.
7 李 波, 陈 诚, 陈元发, 等. 多学科协作模式在严重胸部创伤救治中的应用体会[J]. 四川医学, 2019, 40(3): 92-95.
8 陈松林, 邓 华, 易云峰, 等. 胸部创伤围术期二次剖胸手术与血栓风险的相关性研究[J]. 中华创伤杂志, 2018, 34(8): 734-739.
9 周 平, 曾小飞, 贾维坤, 等. 胸腔镜与传统开胸手术在胸部创伤中的疗效对比[J]. 创伤外科杂志, 2019, 21(2): 34-37.
10 华玉平, 冯重睿, 符碧洲, 等. 探讨主动呼吸循环技术对脑卒中气管切开术后患者呼吸功能的疗效[J]. 中国康复, 2018, 33(2): 136-137.
11 刘晶晶, 白怀生. 主动呼吸循环技术联合常规药物治疗慢性心力衰竭的疗效及对患者运动耐量的影响[J]. 海南医学, 2019, 30(5): 14-17.
12 Duran Y, Karaboa H. Effect of hesperetin on systemic inflammation and hepatic injury after blunt chest trauma in rats[J]. Biotechnic And Histochemistry, 2020, 95(4): 297-304.
13 曹 娟, 李 方, 袁 慧, 等. 主动呼吸循环技术联合改良式胸部叩击在食管癌围术期气道管理中的应用[J]. 医学理论与实践, 2020, 33(19): 3.
14 尹 格. 中医呼吸导引康复技术对慢性阻塞性肺疾病稳定期患者肺功能的影响分析[J]. 中国社区医师, 2020, 812(14): 89-90.
15 胡凤英, 李胜囡, 王晓萱, 等. 主动呼吸循环技术功能锻炼对改善老年肺心病病人肺功能及运动耐量的效果评价[J]. 实用老年医学, 2019, 33(8): 3.
16 Rielage T. Rarely, Often unnoticed and deadly: blunt chest trauma with a main bronchus rupture in daily accidents[J]. Der Notarzt, 2019, 35(2): 76-78.
17 褚文炎, 袁 冲, 张何丹. 主动呼吸循环技术对肺癌患者术后肺功能康复及并发症的影响[J]. 中国基层医药, 2020, 27(11): 1367-1370.
18 林静静, 林晓克, 徐乐义, 等. 主动呼吸循环技术在围手术期肺癌患者快速康复中的应用[J]. 浙江临床医学, 2019, 21(12): 1658-1660.
19 Zden F. Letter to the Editor: Yoga-an alternative form of therapy in patients with blunt chest trauma: a randomized controlled trial[J]. World J Surg, 2021, 45(9): 2949-2950.
20 Dagod G, Ramin S, Solovei L, et al. A combined management with vv-ECMO and independent lung ventilation for asymmetric chest trauma[J]. General Thoracic Cardiovascul Surg, 2021, 69(5): 902-905.
21 Jga D, Vra B, Hmma D, et al. Severe aortic and tricuspid valve regurgitation after blunt chest trauma: an unusual presentation-science direct[J]. CASE, 2020, 4(4): 230-235.
22 Horst K, Hildebrand F. Focus on chest trauma: implications from clinical and experimental studies[J]. European J Trauma Emerg Surg, 2020, 46(1): 1-2.
23 张 丽, 朱 菲. 主动呼吸循环技术在胸部手术患者术后的应用价值研究[J]. 浙江创伤外科, 2020, 25(5): 70-71.
24 何静婷, 喻姣花, 王思桦. 主动呼吸循环技术促进肺癌术后患者肺复张的效果分析[J]. 临床外科杂志, 2018, 26(3): 48-51.
25 Venkatesh J, Chaudhari VA. Cardiac tamponade and complete aortic rupture following blunt trauma chest: A case report and review of literature[J]. J Indian Academy Forensic Med, 2019, 41(1): 75.
26 周盼盼, 周 亮, 李 超, 等. 主动呼吸循环技术对脑卒中后气管切开患者卒中相关性肺炎的疗效研究[J]. 中国现代医生, 2019, 57(25): 89-93.
27 杨娜娜, 赵 敏, 沈筠筠, 等. 主动呼吸循环技术对脑卒中合并肺部感染患者的影响[J]. 中国康复, 2020, 35(11): 4.
28 Bartholomew S, Young A. Observing pneumothoraces: The 35-millimeter rule is safe for both blunt and penetrating chest trauma[J]. J Emerg Med, 2019, 57(3): 420.
29 胡凤英, 李胜囡, 王晓萱, 等. 主动呼吸循环技术功能锻炼对改善老年肺心病病人肺功能及运动耐量的效果评价[J]. 实用老年医学, 2019, 33(8): 806-808.
30 王龙平, 彭继海, 张鸣生. 主动呼吸循环技术在非小细胞肺癌肺叶切除术后快速康复中的临床应用[J]. 中国康复医学杂志, 2018, 33(6): 642-646.

备注/Memo

备注/Memo:
通信作者: 王冬梅, Email: woddinwong@sina.cn
更新日期/Last Update: 2021-12-20