Postoperative Pulmonary Complications
Conditions
Interventions
Control group:Routine pulmonary protective measures
test group:perioperative six character formula training and routine pulmonary protective measures
Sponsors
Guangdong Hospital of traditional Chinese Medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: (1)Patients aged =18 years; (2)Patients undergoing elective cardiac surgery (coronary artery bypass graft surgery, valve surgery)with general anesthesia; (3)ASA II~IV; (4)Patients voluntarily participated and signed informed consent form; (5)Patients cooperate with that training and obtain complete result information.
Exclusion criteria
Exclusion criteria: (1)Preoperative history of acute lung injury or acute respiratory distress syndrome in last 3 months; (2)History of intubation or mechanical ventilation within 60 days prior to surgery; (3)Chronic obstructive pulmonary disease (COPD),obstructive sleep apnea ,asthma, restrictive lung disease, preoperative major chest infection, e.g. pulmonary tuberculosis, chest deformities such as pectus carinatum, pectus excavatum, thoracolumbar scoliosis, diaphragmatic hernias diagnosed on history; (4)Patients who have long-term use of hormone therapy before surgery (=3 months); (5)Patients who may have reoperation within 7 days after surgery; (6)Critical illness, including severe hepatic dys function (eg, hepatic failure), chronic renal failure (glomerular filtration rate 30kg/m2 (8) Patients with cognitive or neurological defcits; (9)Patients having pregnant; (10)Emergency operation; (11)Patients undergoing any other surgery together with coronary artery bypass graft surgery or valve surgery; (12)Robotic surgery or minimally invasive surgery; (13)Ventricular assist devices are needed during or after operation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of pulmonary complications (PPCs) in the 7 days postoperative ; | — |
Secondary
| Measure | Time frame |
|---|---|
| Hospitalization fee;postoperative hospitalization;Incidence of pulmonary infection within 7 days postoperation;Incidence of pulmonary complications (PPCs) in the 30 days postoperative;Postoperative pulmonary function;Postoperative 30-day mortality;Incidence of atelectasis within 7 days postoperative;the PPCs severity score within 7 days after surgery;length of ICU stay postoperative;Adverse event rates;Incidence of hydrothorax within 7 days postoperative;Postoperative arterial oxygen saturation;Mechanical ventilation duration; | — |
Countries
China
Contacts
Public ContactQing Yin
Outcome results
None listed