Application Of Breathing Training In Elderly Patients With Multiple Rib Fractures

Objective:To explore the clinical application of respiratory training in lung rehabilitation of elderly patients with rib fracture.To study the potential application value of breathing training in the treatment and rehabilitation of elderly patients with multiple rib fractures,and to provide a new clinical idea for the treatment and rapid rehabilitation of multiple rib fractures.Methods:Aged patients with multiple rib fractures who received surgical stabilization of rib fracture SSRF in the Department of Cardiothoracic Surgery,the Second Hospital of Shanxi Medical University,Taiyuan City,Shanxi Province from August 2021 to October 2022 were selected.A total of 59 patients were retrospectively analyzed and divided into comprehensive training group(observation group,29 cases)and conventional treatment group(control group,30cases)according to different respiratory training methods.The changes of lung function indexes FVC,FEV1 and PEF were recorded in the two groups,respectively,after admission and 1 week after operation.At the same time,changes of blood gas analysis indexes Pa O2 and Pa O2/Fi O2 at admission and 1 week after surgery were recorded,visual analog pain scores(VAS)at 1,3 and 7 days after surgery were recorded,and the number of pulmonary complications(lung infection and atatasis)in the two groups were observed.Data were collected and comprehensively analyzed to evaluate the application of respiratory training in lung rehabilitation of elderly patients with multiple rib fractures.Results:1.General data of the two groups of patientsThe age,gender,BMI,combined underlying diseases,number of fracture roots,fracture site,injury cause,combined hemothorax and/or pneumothorax and other basic clinical data of the two groups were compared,and there were no statistical significance between the control group and the observation group(P >0.05)..2.Lung function assessment resultsAll patients were cured and discharged after surgery.The pulmonary function FVC of the observation group was higher than that of the control group one week after surgery [(3.56 ± 0.41)L vs(3.13 ± 0.56)L,t=-3.554,P < 0.05],and the pulmonary function FEV1 of the observation group was higher than that of the control group one week after surgery [(2.12±0.29)L vs(1.93±0.24)L].t=-2.952,P < 0.05],the PEF of lung function in the observation group was higher than that in the control group one week after surgery [(4.14 ± 0.75)L/S vs(3.68 ± 0.69)L/S,t=0.500,P<0.05],the difference of pulmonary function indexes FVC,FEV1 and PEF between the two groups was statistically significant one week after surgery(P<0.05).3.Results of blood gas analysis indexThe blood gas analysis index Pa O2 in the observation group was higher than that in the control group one week after surgery [(96.87±5.03)mm Hg vs(90.79±8.75)mm Hg,t=-3.510,P < 0.001].The blood gas analysis index Pa O2/Fi O in the observation group was higher than that in the control group [(358.24±35.17)vs(335.35±46.18),t=-2.299,P < 0.05].4.VAS score resultsThe VAS score of the observation group was higher than that of the control group 3 days after surgery [(4.76±0.61)points vs(3.22±0.59)points,t=-9.858,P< 0.05].VAS score at 1 and 7 days after surgery was not statistically significant in observation group compared with control group(P > 0.05).5.Postoperative complicationsThere were fewer pulmonary complications in the observation group than in the control group(P < 0.05),and the difference was statistically significant.Conclusion:For elderly patients with multiple rib fractures,perioperative respiratory training has high clinical application value,which can promote the recovery of lung function,improve oxygenation,reduce the occurrence of postoperative lung infection and atelectation-related complications,accelerate the rehabilitation process of patients,and obtain a better prognosis.