Significance and prospect of preoperative inspiratory muscle training in abdominal surgery

MU Yan-xi; YAO Ya-long; LI Jin-zhou; WANG Wen-jie; HUANG Ze-ping; CHEN Kang; DONG Peng; CHEN Xiao

doi:10.16766/j.cnki.issn.1674-4152.002826

Volume 21 Issue 1

Jan. 2023

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Article Navigation > Chinese Journal of General Practice > 2023 > 21(1): 118-122

MU Yan-xi, YAO Ya-long, LI Jin-zhou, WANG Wen-jie, HUANG Ze-ping, CHEN Kang, DONG Peng, CHEN Xiao. Significance and prospect of preoperative inspiratory muscle training in abdominal surgery[J]. Chinese Journal of General Practice, 2023, 21(1): 118-122. doi: 10.16766/j.cnki.issn.1674-4152.002826

Citation:

MU Yan-xi, YAO Ya-long, LI Jin-zhou, WANG Wen-jie, HUANG Ze-ping, CHEN Kang, DONG Peng, CHEN Xiao. Significance and prospect of preoperative inspiratory muscle training in abdominal surgery[J]. Chinese Journal of General Practice, 2023, 21(1): 118-122. doi: 10.16766/j.cnki.issn.1674-4152.002826

Citation:

MU Yan-xi, YAO Ya-long, LI Jin-zhou, WANG Wen-jie, HUANG Ze-ping, CHEN Kang, DONG Peng, CHEN Xiao. Significance and prospect of preoperative inspiratory muscle training in abdominal surgery[J]. Chinese Journal of General Practice, 2023, 21(1): 118-122. doi: 10.16766/j.cnki.issn.1674-4152.002826

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Significance and prospect of preoperative inspiratory muscle training in abdominal surgery

doi: 10.16766/j.cnki.issn.1674-4152.002826

1.
The Second Clinical Medical College of Lanzhou University, Lanzhou, Gansu 730000, China

Funds:

2020B-048

CYXZ2020-16

2020-ZD-88

CY2019-BJ06

Received Date: 2022-02-01
Available Online: 2023-04-07

Abstract

Abstract

Pulmonary complications, as one of the most common complications after abdominal surgery, not only increase the length of hospital stay and hospital costs but also seriously affect the prognosis and quality of life of patients. With the development of minimally invasive surgical techniques and anaesthetic techniques, the incidence of postoperative pulmonary complications (PPCs) has decreased. However, PPCs are still considered common complications after abdominal surgery. The commonly used clinical methods to prevent PPCs include balloon blowing, abdominal breathing and lip reduction breathing. However, the implementation and efficacy of these methods cannot be guaranteed because they cannot be set at a specific training intensity, and healthcare professionals cannot effectively assess the patient' s mastery of these methods. Several studies have shown that preoperative inspiratory muscle training (IMT) can improve the muscle strength and endurance of inspiratory muscles, improve the lung function of patients and reduce the incidence of PPCs in abdominal surgery patients. The advantage is that the specific training intensity can be set according to the patient' s condition, and the training intensity can be gradually increased from low to high according to the patient' s condition to achieve individualised training. However, IMT for abdominal surgery patients in China is still in the initial exploration stage, which deprives the preoperative IMT of unified and standardised exercise prescription. In addition, whether IMT is effective in reducing PPCs in abdominal surgery patients is still controversial. Therefore, in this paper, we searched the literature on the effects of preoperative IMT on PPCs in abdominal surgery patients in Chinese and English databases and the grey literature of major clinical registries and reviewed the value of preoperative IMT in abdominal surgery in combination with relevant clinical trials being conducted by our research team. Our purpose is to present different research perspectives and viewpoints from various aspects, so as to provide reference for clinical work and future clinical research and benefit more patients.
- Abdominal surgery,
- Inspiratory muscle training,
- Postoperative pulmonary complications

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References(40)

References

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Significance and prospect of preoperative inspiratory muscle training in abdominal surgery

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Significance and prospect of preoperative inspiratory muscle training in abdominal surgery

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