首页|期刊导航|中西医结合护理(中英文)|妇科恶性肿瘤术后患者呼吸功能训练对肺部并发症发生率的影响

妇科恶性肿瘤术后患者呼吸功能训练对肺部并发症发生率的影响OA

Effect of respiratory function training on the incidence of pulmonary complications in patients with gynecological malignant tumors after surgery

中文摘要英文摘要

目的 分析妇科恶性肿瘤根治术后患者接受系统性呼吸功能训练干预对术后肺部并发症发生风险的影响.方法 选取 2023 年1 月至2025 年6 月期间在苏州大学附属第一医院妇科接受恶性肿瘤根治性手术治疗的80 例患者,借助随机数字表法将入组患者分配至观察组与对照组,每组纳入 40 例.对照组患者在围手术期接受常规护理,观察组患者则在常规护理方案的基础上叠加系统性呼吸功能训练方案.比较 2 组患者术后肺部并发症的发生情况、呼吸困难程度评估结果及术后康复进程等指标.结果 观察组肺部并发症总发生率低于对照组(P<0.05).术后第 3 天,观察组的改良Borg呼吸困难评分较对照组明显低,而 6 分钟步行距离则较对照组明显长(P均<0.05);2 组上述指标均较术前明显改善(P均<0.05).观察组患者首次离床活动时间、肛门首次排气时间以及总住院天数均较对照组显著优异(P均<0.05).结论 针对妇科恶性肿瘤术后患者开展系统性呼吸功能训练,能够有效防止肺部并发症发生风险,减轻患者呼吸困难主观感受,并加速术后康复进程.

Objective To analyze the impact of systematic respiratory function training intervention on the risk of postoperative pulmonary complications in patients after radical surgery for gynecological malignancies.Methods Eighty patients who underwent radical surgery for gynecological malignancies in the Gynecology Department of the First Affiliated Hospital of Soochow University from January 2023 to June 2025 were enrolled.Patients were allocated into an observation group and a control group using a random number table method,with 40 cases in each group.The control group received routine perioperative nursing care,while the observation group received systematic respiratory function training program in addition to the routine care plan.The incidence of postoperative pulmonary complications,the assessment results of the degree of dyspnea and the postoperative rehabilitation process and other indicators of the two groups were compared.Results The observation group had a lower overall incidence of pulmonary complications than the control group(P<0.05).On the third day after surgery,the modified Borg dyspnea score in the observation group was significantly lower than that in the control group,while the 6-minute walking distance was significantly longer than that in the control group(P<0.05).Both groups showed significant improvement in the above indicators compared to preoperative levels(P<0.05).The observation group exhibited significantly better outcomes in the first ambulation time,first flatus time,and total hospital stay compared to the control group(P<0.05).Conclusion Systematic respiratory function training for patients after gynecological malignancy surgery can effectively prevent the risk of pulmonary complications,alleviate the subjective feeling of dyspnea,and accelerate the postoperative recovery process.

屠悦;黄洁;林雪娟

苏州大学附属第一医院,江苏 苏州,215000苏州大学附属第一医院,江苏 苏州,215000苏州大学附属第一医院,江苏 苏州,215000

医药卫生

妇科恶性肿瘤呼吸功能训练肺部并发症围手术期护理快速康复

gynecological malignanciesrespiratory function trainingpulmonary complicationsperioperative nursingrapid recovery

《中西医结合护理(中英文)》 2026 (1)

21-24,4

10.11997/nitcwm.202601006

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