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呼吸练习对冠状动脉搭桥手术患者预防肺部并发症的效果:一项前瞻性随机对照试验研究方案

Effect of breathing exercises to prevent pulmonary complications in patients undergoing coronary artery bypass graft surgery: a prospective randomized controlled trials study protocol.

作者信息

Li Chao, Zhang Ping, Zhang Zichang, Qi Delin, Li Hongli

机构信息

Xuanwu Hospital, Capital Medical University, Beijing, China.

出版信息

Front Med (Lausanne). 2025 Jan 15;11:1424291. doi: 10.3389/fmed.2024.1424291. eCollection 2024.

Abstract

PURPOSE

To study the effects of breathing exercises on preventing pulmonary complications in patients undergoing coronary artery bypass graft surgery.

METHODS

Observing whether preoperative breathing exercises can reduce the incidence of postoperative pulmonary complications in patients undergoing coronary artery bypass graft surgery; observing whether these exercises can improve postoperative arterial oxygen pressure, oxygen saturation, and the distance walked in a six-minute walk test after surgery; as well as reduce hospital stay duration, lower treatment costs, and improve the quality of life as measured by the Short Form-36 Health Survey (SF-36).

DESIGN

The study population includes patients undergoing coronary artery bypass graft surgery under general anesthesia; the research center is Capital Medical University Xuanwu Hospital; the sample size is 120. Preoperative standardized breathing exercises are utilized, and the incidence of postoperative pulmonary complications, postoperative arterial blood gases, oxygen saturation, six-minute walk test distances, and comparisons of hospital stay durations and costs will be observed.

摘要

目的

研究呼吸锻炼对冠状动脉搭桥手术患者预防肺部并发症的效果。

方法

观察术前呼吸锻炼能否降低冠状动脉搭桥手术患者术后肺部并发症的发生率;观察这些锻炼能否改善术后动脉血氧分压、血氧饱和度以及术后六分钟步行试验中的行走距离;以及缩短住院时间、降低治疗费用,并通过简短健康调查问卷(SF-36)评估改善生活质量。

设计

研究人群包括接受全身麻醉的冠状动脉搭桥手术患者;研究中心为首都医科大学宣武医院;样本量为120例。采用术前标准化呼吸锻炼,并观察术后肺部并发症的发生率、术后动脉血气、血氧饱和度、六分钟步行试验距离,以及比较住院时间和费用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acc6/11757886/0626f29a8658/fmed-11-1424291-g001.jpg

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