胸腔镜和传统开胸手术行肺减容术对患者肺功能、血氧饱和度指标的对比
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摘要
目的探讨胸腔镜和传统开胸手术行肺减容术对患者肺功能、血氧饱和度指标的差异。方法收集本院晚期肺气肿行肺减容术的患者,分为:研究组(接受胸腔镜手术行肺减容术)和对照组(接受传统开胸手术行肺减容术)。对比2组术前及术后3月肺功能、血气分析及6 min步行距离。结果 2组手术前肺功能(FEV1、FVC、RV)差异无统计学意义(P>0.05);研究组手术后3月肺功能(FEV1、FVC、RV)高于对照组,2组差异有统计学意义(P<0.05);2组手术前血气分析及6 min步行距离差异无统计学意义(P>0.05);研究组手术后3月PaO2及6 min步行距离高于对照组,PaCO2低于对照组,2组差异有统计学意义(P<0.05)。结论胸腔镜手术行肺减容术对患者肺功能、血氧饱和度指标改善效果好。
Objective To investigate the difference of pulmonary function and oxygen saturation indices between thoracoscopic thoracotomyand conventional thoracotomy for lung volume reduction.Methods The patients with advanced emphysema who underwent lung volume reduction surgery in the hospital were divided into two groups:a study group(receiving thoracoscopic surgery for lung volume reduction) and a control group(receiving traditional thoracotomy for lung volume reduction).The pulmonary function,blood gas analysis and 6-minute walking distance before and 3 months after the operation were compared between two groups.Results There was no significant difference in the preoperative pulmonary function(FEV1,FVC,RV) between the two groups(P>0.05),but the pulmonary function(FEV1,FVC,RV) in the study group was higher than that in the control group 3 months after the operation(P< 0.05);there was no significant difference in the preoperative blood gas analysis and 6-minute walking distance between the two groups(P> 0.05),but the PaO2 and 6-minute walking distance in the study group were higher than those in the control group 3 months after the operation,and in addition,the PaCO2 in the study group was lower than that in the control group(P< 0.05).Conclusion The thoracoscopic thoracotomy for lung volume reduction is superior to the conventional thoracotomy for lung volume reduction in the improvement of pulmonary function and oxygen saturationindices.
Objective To investigate the difference of pulmonary function and oxygen saturation indices between thoracoscopic thoracotomyand conventional thoracotomy for lung volume reduction.Methods The patients with advanced emphysema who underwent lung volume reduction surgery in the hospital were divided into two groups:a study group(receiving thoracoscopic surgery for lung volume reduction) and a control group(receiving traditional thoracotomy for lung volume reduction).The pulmonary function,blood gas analysis and 6-minute walking distance before and 3 months after the operation were compared between two groups.Results There was no significant difference in the preoperative pulmonary function(FEV1,FVC,RV) between the two groups(P>0.05),but the pulmonary function(FEV1,FVC,RV) in the study group was higher than that in the control group 3 months after the operation(P< 0.05);there was no significant difference in the preoperative blood gas analysis and 6-minute walking distance between the two groups(P> 0.05),but the PaO2 and 6-minute walking distance in the study group were higher than those in the control group 3 months after the operation,and in addition,the PaCO2 in the study group was lower than that in the control group(P< 0.05).Conclusion The thoracoscopic thoracotomy for lung volume reduction is superior to the conventional thoracotomy for lung volume reduction in the improvement of pulmonary function and oxygen saturationindices.
引文
[1]乔峰,邹志田,刘春辉,等.胸腔镜肺减容术在治疗重度非均质性肺气肿患者中效果[J].继续医学教育,2018,32(2):109-110.
[2]刘守知.胸腔镜下肺减容术治疗重度慢性阻塞性肺气肿的效果分析[J].河南医学研究,2017,26(22):4146-4147.
[3]冶治,高哲俊,鄂德秀,等.胸腔镜肺减容术治疗72例终末肺气肿患者的临床效果研究[J].青海医药杂志,2017,47(10):4-8.
[4]常旭.胸腔镜肺减容术治疗慢性阻塞性肺气肿的临床疗效[J].中国医疗器械信息,2017,23(15):93-94.
[5]苏永超,田作春,曹卫东,等.单侧胸腔镜下肺减容术治疗老年性大疱型肺气肿[J].中国现代医学杂志,2017,27(16):95-98.
[6]茅怡铭,魏长江,吴长江,等.电视辅助胸腔镜与常规切口肺减容术治疗重度慢性阻塞性肺疾病效果比较的meta分析[J].上海交通大学学报(医学版),2017,37(7):997-1003.
[7]彭建明.胸腔镜下肺减容术在肺气肿治疗中的价值分析[J].中国社区医师,2017,33(4):20-21.
[8]乔峰,邹志田,朱晓峰,等.电视胸腔镜辅助小切口肺减容术治疗严重胸膜粘连的重度非均质肺气肿的临床价值[J].继续医学教育,2016,30(7):111-113.
[2]刘守知.胸腔镜下肺减容术治疗重度慢性阻塞性肺气肿的效果分析[J].河南医学研究,2017,26(22):4146-4147.
[3]冶治,高哲俊,鄂德秀,等.胸腔镜肺减容术治疗72例终末肺气肿患者的临床效果研究[J].青海医药杂志,2017,47(10):4-8.
[4]常旭.胸腔镜肺减容术治疗慢性阻塞性肺气肿的临床疗效[J].中国医疗器械信息,2017,23(15):93-94.
[5]苏永超,田作春,曹卫东,等.单侧胸腔镜下肺减容术治疗老年性大疱型肺气肿[J].中国现代医学杂志,2017,27(16):95-98.
[6]茅怡铭,魏长江,吴长江,等.电视辅助胸腔镜与常规切口肺减容术治疗重度慢性阻塞性肺疾病效果比较的meta分析[J].上海交通大学学报(医学版),2017,37(7):997-1003.
[7]彭建明.胸腔镜下肺减容术在肺气肿治疗中的价值分析[J].中国社区医师,2017,33(4):20-21.
[8]乔峰,邹志田,朱晓峰,等.电视胸腔镜辅助小切口肺减容术治疗严重胸膜粘连的重度非均质肺气肿的临床价值[J].继续医学教育,2016,30(7):111-113.