The Department of Anesthesiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Clin Rehabil. 2021 May;35(5):692-702. doi: 10.1177/0269215520972648. Epub 2020 Dec 7.
The aim of this study was to determine whether perioperative breathing training reduces the incidence of postoperative pulmonary complications in patients undergoing laparoscopic colorectal surgery.
A randomized controlled trial.
University hospital.
A total of 240 patients undergoing laparoscopic colorectal surgery participated in this study.
The enrolled patients were randomized into an intervention or control group. Patients in the intervention group received perioperative breathing training, including deep breathing and coughing exercise, balloon-blowing exercise, and pursed lip breathing exercise. The control group received standard perioperative care without any breathing training.
The primary endpoint was the incidence of postoperative pulmonary complications. The secondary objectives were to evaluate the effect of perioperative breathing training on arterial oxygenation, incidence of other postoperative complications, patient satisfaction, length of stay, and hospital charges.
The incidence of postoperative pulmonary complications in the breathing training group was lower than that in the control group (5/120 [4%] vs 14/120 [12%]; RR 0.357, 95%CI 0.133-0.960; = 0.031). In addition, PaO and arterial oxygenation index on the first and fourth days after surgery were significantly higher in the breathing training group than in the control group ( < 0.001). In addition, patients with breathing training had shorter length of stay (6d [IQR 5-7] vs 8d [IQR 7-9]), lower hospital charges (7761 ± 1679 vs 8212 ± 1326), and higher patient satisfaction (9.46 ± 0.65 vs 9.21 ± 0.47) than those without.
Perioperative breathing training may reduce the incidence of postoperative pulmonary complications and preserve of arterial oxygenation after laparoscopic colorectal surgery.
本研究旨在确定围手术期呼吸训练是否能降低腹腔镜结直肠手术患者术后肺部并发症的发生率。
随机对照试验。
大学医院。
共 240 例接受腹腔镜结直肠手术的患者参与了本研究。
纳入的患者被随机分为干预组和对照组。干预组患者接受围手术期呼吸训练，包括深呼吸和咳嗽练习、吹气球练习和缩唇呼吸练习。对照组患者接受标准围手术期护理，不进行任何呼吸训练。
主要终点为术后肺部并发症的发生率。次要观察指标包括评估围手术期呼吸训练对动脉氧合、其他术后并发症的发生率、患者满意度、住院时间和住院费用的影响。
呼吸训练组术后肺部并发症的发生率低于对照组（5/120 [4%] 比 14/120 [12%]；RR 0.357，95%CI 0.133-0.960；P = 0.031）。此外，呼吸训练组患者术后第 1 天和第 4 天的 PaO 和动脉氧合指数均显著高于对照组（P<0.001）。此外，进行呼吸训练的患者住院时间更短（6d [IQR 5-7] 比 8d [IQR 7-9]），住院费用更低（7761 ± 1679 比 8212 ± 1326），患者满意度更高（9.46 ± 0.65 比 9.21 ± 0.47）。
围手术期呼吸训练可能降低腹腔镜结直肠手术后肺部并发症的发生率，并改善动脉氧合。
