Clinical application of incentive spirometry in patients with chronic obstructive pulmonary disease after thora-cotomy / 局解手术学杂志

ABSTRACT

Objective To discuss the feasibility on reducing the postoperative pulmonary complications ( PPC) incidence after thoracot-omy on chronic obstructive pulmonary disease ( COPD) though application of incentive spirometry ( IS) . Methods 62 patients with COPD concurrent thoracotomy were divided into control group and observation group,the control group was given routine nebulization,expectoration and other physical treatment;the observation group were given IS besides the conventional treatment. The incidence of PPC,prognosis,and the changes on pulmonary function were compared between these two groups. Results The incidence of PPC and mortality of observation group were significantly lower than those of control group,and the inspiratory capacity( IC) from 3~5 days was significantly higher than that of con-trol group. Conclusion Application of IS can reduce the PPC incidence after thoracotomy on COPD patients,and promote the recovery of pulmonary function.