[Effect of High-frequency Chest Wall Oscillatory on Lung Function in Patient After Single Port Video-assisted Thoracoscopic Surgery Lobectomy].

: 【中文题目：高频胸壁振荡排痰仪对单孔胸腔镜肺叶切除术后肺功能的影响】 【中文摘要：背景与目的 高频胸壁振荡排痰仪（high-frequency chest wall oscillatory, HFCWO）是一种新型的辅助排痰装置，但其相关的作用效果仍不明确。本研究通过比较高频胸壁振荡排痰仪使用前后患者排痰量的变化，进一步探讨高频胸壁振荡排痰仪对单孔胸腔镜（single port video-assisted thoracoscopic surgery lobectomy, S-VATS）肺叶切除术后肺功能和血气分析的影响。方法 收集2017年1月-2017年12月于苏州大学附属第二医院行S-VATS肺叶切除术患者共90例，随机分为实验组和对照组，每组45例。实验组患者采用高频胸壁振动排痰仪排痰，对照组采用常规拍背排痰。检测两组术后前5天的排痰量以及两组术前、术后第7天肺功能和动脉血气分析。结果 实验组治疗后排痰量均多于对照组，且术后第1天、第2天、第3天比较差异有统计学意义（P 0.05）；术后两组FEV₁、FVC及PaO₂均较术前下降（P 0.05）。结论 S-VATS肺叶切除术后给予高频胸壁振荡排痰仪可以显著提高排痰量，改善肺功能和缺氧状态，临床疗效满意。
】 【中文关键词：单孔；胸腔镜；高频胸壁振荡排痰仪；肺功能】. METHODS: A total of 90 patients with S-VATS lobectomy were collected in the Second Affiliated Hospital of Soochow University from January 2017 to December 2017, which were randomly divided into the experimental group with HFCWO (n=45) and the control group (n=45) with routine clapping, respectively. The sputum volume of the two groups was measured 5 days before operation. Lung function and arterial blood gas analysis was measured before and 7th days after surgery. RESULTS: The sputum volume was higher in the experimental group than that of the control group after surgery, there was statistically significant difference for the first three days (P 0.05); Compared with those before surgery, FEV₁, FVC and PaO₂ decreased in both groups after surgery (P 0.05). CONCLUSIONS: HFCWO can significantly increase the amount of sputum excretion, improve lung function and alleviate hypoxia status after S-VATS lobectomy. This study provides a promising approach for HFCWO toward hypoxia status after S-VATS lobectomy.
.