Chao Yann-Fen C
School of Nursing, National Yang-Ming University.
Hu Li Za Zhi. 2006 Oct;53(5):5-12.
The incidence of pulmonary complications is high in patients undergoing thoracic and upper abdominal surgery. Such surgery requires that an incision be made into the patient's respiratory muscles. As a result, each respiration taken induces great pain, which makes patients breathe shallowly and prevents their taking deep breaths and coughing. This article takes a pathophysiological approach in examining the mechanisms involved in the development of pulmonary complications and critiques the effectiveness of rehabilitative interventions that are described in the published literature. Upper arm exercise is suggested as an effective and acceptable intervention to promote pulmonary rehabilitation for this group of patients.
在接受胸科和上腹部手术的患者中，肺部并发症的发生率很高。此类手术需要在患者的呼吸肌上做切口。因此，每次呼吸都会引起剧痛，这使得患者呼吸浅促，无法进行深呼吸和咳嗽。本文采用病理生理学方法来研究肺部并发症发生发展过程中的相关机制，并对已发表文献中所述康复干预措施的有效性进行评论。建议上臂运动作为一种有效且可接受的干预措施，以促进该组患者的肺部康复。
