| Abstract |
Objective To compare the difference in the effect of airway management with enhanced pulmonary function training and fiberbronchoscope treatment in perioperative period for atelectasis and pulmonary infection in lung surgery in cold northern regions. Methods A retrospective analysis was conducted on 60 patients who underwent lung surgery based on common chronic lung diseases admitted to our hospital from June 2020 to December 2023. The observation group consisted of 30 patients who underwent intensive pulmonary function training and fiberbronchoscope treatment in the perioperative period. 30 patients who underwent lung surgery in the early stage and were managed according to routine management were selected as the control group. The difference in the effect of clinical related results between the two groups was compared. Results While ensuring the efficacy, the difference in airway management quality with pulmonary function as the main indicator before and after surgery was observed in the experimental group. The treatment effect indicators of the two groups were compared: symptoms and signs (body temperature, respiratory rate and oxygen saturation); serological indicators (blood gas analysis, white blood cells, high-sensitivity C-reactive protein (hs-CRP); pulmonary function indicators (including tidal volume (VT, ml), forced expiratory volume in one second (FEV1.0, L), FVC1.0%, MVV actual/predicted.) and X-ray chest film examination. Results Before treatment, there was no significant difference in the scores between the two groups of patients (P>0.05); after treatment, the symptoms and signs (body temperature, respiratory rate and oxygen saturation); serological indicators (blood gas analysis, white blood cells, high-sensitivity C-reactive protein (hs-CRP); pulmonary function indicators (including tidal volume (VT, ml), forced expiratory volume in one second (FEV1.0, L), FVC1.0%, MVV actual/predicted.) and X-ray chest film examination of the observation group were significantly better than those of the control group. The difference between the two groups after treatment was statistically significant (P<0.05). Conclusion For perioperative atelectasis and pulmonary infection in lung surgery in cold northern regions, adding enhanced lung function training and airway management with fiberbronchoscope treatment on the basis of conventional treatment can significantly reduce lung infection and improve the quality of surgery. Its treatment effect is significant and worthy of promotion.
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