Nursing effect analysis of perioperative breathing trainer and vibratory sputum discharge vestin patients with thoracoscopic lung cancer surgery
围术期呼吸训练器与振动排痰背心排痰在胸腔镜肺癌手术患者中护理效果分析

摘要

目的 探究胸腔镜肺癌手术围术期采取围术期呼吸训练器、振动排痰背心排痰护理的效果。方法 回顾本院确诊肺癌行胸腔镜手术治疗的患者60例，调出患者在2021年5月-2022年5月之间，接受围术期呼吸训练器与振动排痰背心排痰的相应资料。两组经随机抓阄形式分组各有30例，对照组施行围术期深呼吸训练+咳嗽排痰训练护理，观察组施行围术期呼吸训练器与振动排痰背心排痰，对比两组术后1d/3d/7d排痰指数；统计两组术后发生肺不张、肺感染、胸腔积液的不良问题占比；统计两组术后1d/3d/7d的VC（L）、FEV1（L）、FVC（L）、MVV（L/min）肺功能指标。结果 观察组排痰量始终多于对照组，观察组不良术后并发症占比高于对照组10%，观察组术后的肺功能指标优于对照组，（P<0.05）。结论 胸腔镜肺癌围术期，结合现代技术，使用呼吸训练器与振动排痰背心排痰，可联合降低肺部并发症，提升肺功能，提升排痰效率。

Abstract

Objective To explore the effect of perioperative respiratory training device and vibratory sputum discharge vest in the perioperative period of thoracoscopic lung cancer surgery.
Methods: A total of 60 patients with lung cancer who underwent thoracoscopic surgery in our hospital were retrospectively reviewed. The corresponding data of sputum discharge received by perioperative breathing trainer and vibrating sputum discharge vest between May 2021 and May 2022 were pulled out. The control group received perioperative deep breathing training + cough sputum discharge training and nursing, while the observation group received perioperative breathing trainer and vibrating sputum discharge vest. The sputum discharge index of the two groups was compared 1 /3 /7 days after operation. The proportion of postoperative adverse problems of atelectasis, pulmonary infection and pleural effusion in the two groups was analyzed. The pulmonary function indexes of VC(L), FEV1(L), FVC(L) and MVV(L/min) at 1 day /3 days /7 days after operation were analyzed.
Results: The sputum output of the observation group was always more than that of the control group, the proportion of adverse postoperative complications in the observation group was 10% higher than that of the control group, and the pulmonary function index of the observation group was better than that of the control group (P<0.05).
Conclusion  : In the perioperative period of thoracoscopic lung cancer, combined with modern technology, the use of breathing trainer and vibrating sputum discharge vest can reduce pulmonary complications, improve lung function and improve sputum discharge efficiency.