文章摘要
Bingqiang Ma,Hongguang Bao.[J].南京医科大学学报,2009,29(5):328~334
Reduction in pulmonary complications in high risk patients undergoing surgery for total hip replacement under general anesthesia by preoperative intensive inspiratory muscle training : A randomized controlled clinical trial
投稿时间:2009-05-05  
DOI:10.7655
中文关键词: 
英文关键词: inspiratory muscle training  postoperative pulmonary complications  total hip replacement
基金项目:
作者单位
Bingqiang Ma Department of Anesthesiology, Nanjing First Hospital affiliated to Nanjing Medical University, Nanjing 210006, China 
Hongguang Bao  
摘要点击次数: 1705
全文下载次数: 177
中文摘要:
      
英文摘要:
      Objective: To evaluate the effects of preoperative inspiratory muscle training (IMT) on the incidence of atelectasis in patients at high risk of postoperative pulmonary complications scheduled for elective total hip replacement surgery under general anesthesia. Methods: Thirty two high-risk patients undergoing elective total hip replacement surgery under general anesthesia were chosen from Nanjing Medical University, Affiliated Nanjing First Hospital. In this single-blind randomized controlled clinical trial, patients were randomly assigned to receive preoperative inspiratory muscle training or conventional treatment (CT). The major effectiveness outcome variables were atelectasis and duration of postoperative hospitalization. Results: Both groups were comparable prior to surgery. Seven patients in the CT group and 3 in the IMT group developed atelectasis (P = 0.25). Median duration of postoperative hospitalization was 13 days (range, 10~17 days) in the IMT group versus 16 days (range, 11~23 days) in the CT group (Mann-Whitney U statistics, Z = -2.22, P = 0.03). Mean postoperative inspiratory pressure was 5% higher in the IMT group. Conclusion: Preoperative intensive inspiratory muscle training appears to reduce the incidence of atelectasis and duration of postoperative hospitalization in patients at high risk of developing postoperative pulmonary complications who were scheduled for elective total hip replacement surgery under general anesthesia.
查看全文   查看/发表评论  下载PDF阅读器
关闭