比較不同呼吸法對上腹部手術後病人肺部吸氣量之效果

Comparing the Maximum Inspiratory Volume of Lungs between Two Breathing Methods in Post-Abdominal Surgery Patients

聶曉琪(Shoan-Chyi Nieh) ； 陳慈桑(Tzu-Sang Chen)

《榮總護理》 28卷3期 (2011/09) Pp. 249-257

https://doi.org/10.6142/VGHN.28.3.249

摘要

上腹部手術後常導致肺功能的改變，使肺容積減少、肺功能減退，本研究目的在比較長吐氣呼吸法及腹式深呼吸對上腹部手術後病人肺部最大吸氣量之差異。本研究設計為類實驗法，中部某醫學中心上腹部手術病人共82人為研究對象，以立意取樣選取實驗組教導長吐氣呼吸法，對照組教導腹式呼吸法，於手術前一天、手術後第一天至第三天分別以誘發性呼吸容量儀（Incentive Spirometer）測量單次最大吸氣量，以了解肺部擴張量。研究結果顯示兩組手術前最大吸氣量沒有顯著差異。手術後第一、二、三天之最大吸氣量均以實驗組平均減少量顯著低於對照組，實驗組手術後第三天即已恢復到手術前的87%；而對照組手術後第三天才恢復到手術前的63%，顯示本研究中手術後三天內長吐氣呼吸法對於最大吸氣量恢復的效果優於腹式呼吸法。結論：建議長吐氣呼吸法可用於上腹部手術後三天內增加最大吸氣量的呼吸法。

關鍵字

長吐氣呼吸法 ； 腹式呼吸法 ； 上腹部手術 ； 肺部吸氣量

並列摘要

The purpose of this study was to compare the maximum inspiratory volume (MIV) of the lungs between enforce expirative breathing and abdominal breathing in post-abdominal surgery patients. There were 82 abdominal surgery patients. We taught these two methods of breathing to the experimental and control groups respectively the day before surgery, and during the first to third day after surgery. In the same day, we measured a single MIV of lung expansion with an incentive spirometer. Before surgery, results in the two groups had no significant differences in MIV. The average reduced MIV in the experimental group was lower than the control group during the first day to third day after surgery. Experimental group had restored 87% at third day after surgery while the control group restored 63% at third day after surgery. MIV of lungs was better with enforce expiratory breathing than abdominal breathing. Therefore, it can be used to increase MIV of the lungs.

並列關鍵字

enforce expirative breathing ； abdominal breathing ； abdominal surgery ； maximum inspiratry volume