Effects of preoperative incentive spirometry combined with active cycle of breathing techniques training in adolescents with scoliosis
10.3760/cma.j.cn115682-20220526-02541
- VernacularTitle:术前诱发性肺量计联合主动循环呼吸技术训练在青少年脊柱侧弯术前的应用效果
- Author:
Changgao JI
1
;
Yuan LIANG
;
Ran ZHANG
;
Guohong JIA
;
Yu JIA
;
Yong HAI
Author Information
1. 首都医科大学附属北京朝阳医院骨科，北京 100020
- Keywords:
Scoliosis;
Preoperative;
Incentive spirometry;
Active cycle of breathing techniques
- From:
Chinese Journal of Modern Nursing
2023;29(17):2330-2334
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of preoperative incentive spirometry combined with active cycle of breathing techniques (ACBT) training on pulmonary function recovery after scoliosis surgery in adolescents.Methods:From June 2019 to June 2021, random sampling was used to select 88 patients with scoliosis admitted to Beijing Chaoyang Hospital affiliated to Capital Medical University as the study subject. The patients were divided into a study group and a control group using a random number table method, with 44 patients in each group. The control group received preoperative ACBT training, while the study group conducted preoperative incentive spirometry combined with ACBT training. The respiratory function and blood gas indicators, including forced expiratory volume (FEV1) , forced vital capacity in one second (FVC) , vital capacity, and blood oxygen saturation (SpO 2) , were compared between the two groups before and two weeks after intervention. The Borg Scale and the Tilburg Frailty Indicator were used to evaluate the degree of dyspnea and physical frailty in the two groups of patients, and the incidence of complications and treatment satisfaction were compared between the two groups to analyze the effect of preoperative incentive spirometry combined with ACBT training on pulmonary function recovery after scoliosis surgery in adolescents. Results:Two weeks after operation, the FEV1/FVC ratio and SpO 2 in the two groups were lower than those before intervention, with a statistical difference ( P<0.05) ; The FEV1/FVC ratio and SpO 2 in the study group were statistically higher than those in the control group ( P<0.01) . The vital capacity of the control group decreased two weeks after operation compared to that before intervention, and the vital capacity of the study group was higher than that of the control group, with statistically significant differences ( P<0.05) . Two weeks after operation, the Borg Scale score of patients in both groups was higher than that before intervention, and that of the study group was lower than that of the control group, with statistically significant differences ( P<0.05) . There was no statistical difference in the incidence of postoperative complications between the two groups ( P>0.05) . The treatment satisfaction in the study group was 97.73% (43/44) , higher than 86.36% (38/44) in the control group, with a statistically significant difference ( P<0.05) . Conclusions:Preoperative incentive spirometry combined with ACBT training can promote postoperative pulmonary function recovery, alleviate frailty symptoms, and improve patient satisfaction in patients with scoliosis, which is worthy of clinical practice.
