Abstract: Objective To establish a pulmonary rehabilitation program for patients with severe scoliosis during perioperative period,and to discuss its clinical effect. Methods Literature analysis and expert consultation were used to construct the perioperative pulmonary rehabilitation program for patients with severe scoliosis. A total of 28 patients with severe scoliosis admitted from July 2021 to October 2022 to a tertiary Grade-A hospital in Hangzhou were selected as the experimental group and 30 patients with severe scoliosis admitted from January 2020 to June 2021 as the control group by convenient sampling method. The experimental group received perioperative pulmonary rehabilitation program for patients with severe scoliosis on the basis of routine nursing,and the control group received routine nursing. The differences of pulmonary ventilation function,6-minute walking test distance,and incidence of pulmonary complications between the two groups were compared. Results One week after surgery and one month after surgery,the percentage of forced expiratory volume in onet second of the predicted value,the percentage of forced vital capacity in the predicted value,the percentage of vital capacity in the predicted value and the 6-minute walking distance of the experimental group were higher than those of the control group,the differences were statistically significant（P<0.05）. One week after surgery,the incidence of pulmonary complications was statistically different between the two groups（χ²=40.069,P<0.001）. One month after surgery,no pulmonary complications occurred in both groups. No fall,acute motor injury or cardiovascular adverse events occurred in the two groups during pulmonary rehabilitation. Conclusion Perioperative pulmonary rehabilitation is beneficial to improve postoperative pulmonary ventilation function and short-term activity ability in patients with severe scoliosis,and reduce the incidence of pulmonary complications. In the future,follow-up time can be further extended to determine the long-term effect of perioperative pulmonary rehabilitation program on postoperative lung function changes in patients with severe scoliosis.

Key words: Scoliosis, Pulmonary Rehabilitation, Breathing Exercises, Pulmonary Ventilation, Perioperative Nursing