呼吸操联合穴位按摩对心外手术患者的影响

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1、授予单位代码10089学号或申请号.13496对处(E搿大5HebeiMedicalUniversity硕士学位论文在职科学学位呼吸操联合穴位按摩对心外手术患者的影响学位申请人：张萃导师：王庆丰主任护师专业：护理学2015年3月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师(或指导小组)的指导下，由本人独立完成。本学位论文研究所获得的研究成果，其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公开和使用。凡发表与学位论文主要内容相关的论文,第一署名为单位河北医科大学，试验材料、原始数据、申报的专利等知识产权均归河北医科大学所有。否则,承担相应法律责任。研究生签

2、名导师签章：二级学院领导盖章：年月日河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注和致谢等内容外，文中不包含其他人已经发表或撰写的研究成果,指导教师对此进行了审定。本论文由本人独立撰写,文责自负。研究生签名：导师签章：目录中文摘要·············································································1英文摘要········································································

3、·····3研究论文呼吸操联合穴位按摩对心外手术患者的影响前言·············································································6对象与方法····································································7结果·············································································12附表··································

4、···········································14讨论·············································································17结论·············································································20参考文献·······································································21附录··············

5、·······························································23综述体外循环手术围术期肺功能维护措施································25致谢···················································································33个人简历·············································································34中文摘要呼吸操联合穴位按摩

6、对心外手术患者的影响摘要目的：本研究将呼吸操联合穴位按摩应用于心脏外科单瓣膜置换手术患者中，了解心脏外科患者实施单瓣膜置换手术后康复情况，探讨对患者的肺功能及运动能力的影响。方法：收集河北省人民医院心脏外科在2014年1~12月首次住院并择期进行心脏单瓣膜置换手术的成年患者66例作为研究对象。将患者随机分为试验组和对照组，其中试验组33例，主动脉瓣置换术11例，二尖瓣置换术22例，年龄在44~67岁之间；对照组33例，主动脉瓣置换术14例，二尖瓣置换术19例，年龄在36~69岁之间，两组患者在性别、年龄、射血分数、手术类型等方面比较的差异均无统计学意义，具有可比性。对照组进行常规治疗及护理，试

7、验组在进行常规治疗及护理的基础上，给予呼吸操联合穴位按摩，自术前三天至术后第十天接受一对一的卧式呼吸操及穴位按摩训练。将术后第三天与第七天的动脉肺泡氧分压比（a/APO2）、氧合指数(OI)、氧分压（PaO2）、二氧化碳分压(PaCO2)作为肺功能状况的评价指标，术后搬出ICU后第三天和第七天六分钟步行试验作为运动能力评价指标，与研究对象术后肺部并发症的发生率、呼吸机辅助时间、ICU时间和术后住院