|
|
|
| Early Respiratory Function Exercise Combined with Nasal High Flow Oxygen Therapy on Rehabilitation and Pulmonary Function in Children with Tetralogy of Fallot |
| YANG Gui-hong, XIAO Jian-feng, LUO Jin-wen,et al |
| Hunan Children's Hospital, Changsha 410007, Hunan |
|
|
|
|
Abstract 【Objective】To explore the effect of early respiratory function training combined with nasal high flow oxygen therapy on the rehabilitation and pulmonary function of children with tetralogy of Fallot (TOF). 【Methods】Eighty-seven children with TOF admitted to our hospital from March 2016 to March 2018 were randomly divided into observation group (n=44) and control group (n=43) according to random number table method. The observation group was treated with early respiratory function exercise combined with nasal high flow oxygen therapy, while the control group was treated with nasal high flow oxygen therapy. The two groups were treated for one month. The changes of SGRQ, blood gas analysis index and pulmonary function before and after treatment were compared between the two groups. 【Results】After treatment, the SGRQ score of the two groups decreased, and the SGRQ score of the observation group was lower than that of the control group (P<0.05). After treatment, the arterial partial pressure of oxygen (PaO2), pH value, pulse oxygen saturation(SpO2 ) increased and the arterial partial pressure of carbon dioxide (PaCO2) decreased in both groups. The PaO2, pH value and SpO2 value in the observation group were higher than those in the control group, and the PaCO2 level was lower than that in the control group (P<0.05). After treatment, the percentage of vital capacity (VC), forced expiratory volume (FEV1), forced vital capacity (FVC), forced expiratory volume (FEV1), forced expiratory volume (FVC), forced expiratory volume (FEV1/FVC) of the two groups increased, and the values of VC, FEV1, FVC and FEV1/FVC of the observation group were higher than those of the control group (P<0.05). 【Conclusion】Early respiratory function exercise combined with nasal high flow oxygen therapy for TOF can effectively improve the quality of life, shorten hospitalization time, improve the blood gas index and pulmonary function of children with TOF, and has high safety.
|
|
Received: 15 July 2019
|
|
|
|
|
|
[1] 李桐,张燕搏,杨克明.成人法洛四联症一期根治术后ICU延迟恢复的危险因素[J].中华实用诊断与治疗杂志,2017,31(9):878-880.
[2] Morgenthau A,Frishman WH.Genetic origins of tetralogy of fallot[J].Cardiol Rev,2017,26(2):2329-2334.
[3] 周燕萍,史珍英,徐卓明.乌司他丁对体外循环法洛四联症患儿围心脏手术期循环和呼吸功能的影响[J].现代生物医学进展,2017,17(2):78-80.
[4] Alassal M,Ibrahim BM,Elrakhawy HM,et al.Total correction of tetralogy of fallot at early age: a study of 183 cases[J].Heart Lung Circulation,2017,27(2):13-15.
[5] 朱建华.《2016年欧洲心血管疾病预防的临床实践指南》解读[J].中国介入心脏病学杂志,2016,24(11):619-622.
[6] 冯蜀欢.法洛四联症相关易感基因的研究进展[J].国际儿科学杂志,2018, 45(8):597-600.
[7] 叶文倩,顾燕,丁文虹,等.法洛四联症根治术后残余畸形的相关因素研究[J].心肺血管病杂志,2018,37(12):65-69.
[8] 董双虎,何青云,龚志翔,等.经鼻高流量氧疗治疗急性低氧性呼吸衰竭的疗效[J].实用临床医学,2018,19(4):12-14.
[9] 高敏,韩小彤,文辉,等.经鼻高流量氧疗在成人呼吸衰竭患者中的应用进展[J].医学综述,2017,23(22):4468-4472.
[10] 杨娟,朱慕云.吸气肌群功能康复在慢阻肺患者康复治疗中的作用[J].临床肺科杂志, 2018,23(9):172-175.
[11] 宋雅君,周哲慧,柳耀康,等.慢性阻塞性肺疾病稳定期患者肺功能、血气分析指标与CAT评分的相关性分析[J].医学临床研究,2018,35(2):312-313.
[12] 李瑞琼,王磊等.标准化抗心力衰竭治疗心力衰竭伴和不伴俯身呼吸困难患者临床疗效的对比研究[J].实用心脑肺血管病杂志,2017,25(10):76-79. |
|
|
|
2019, Vol. 36 
