作者
李 维,郑 微,后 莹,王文娟,苏鸿静
文章摘要
目的:探讨呼吸功能锻炼操对肺癌术后患者肺功能恢复的影响。方法:选取2021年-2022年于红河州第三人民医院胸外科接受手术治疗的肺癌患者,将其分为观察组200例和对照组200例,给予呼吸功能锻炼操及传统肺术后康复训练,并分别于术后1月,3月复查肺功能。结果:排除失访患者后,共入组患者217例,其中观察组100例,对照组117例。两组患者术前基本情况(性别、年龄、BMI值、手术方式、TNM分期、术前FEV1/FVC、术前PEF等)差异无统计学意义(P>0.05)。术后1月时,观察组FEV1/FVC(P<0.001),6分钟步行试验数值(P<0.001)及较术前减少值(P<0.001)均优于对照组。术后3月时,观察组肺功能FEV1/FVC(P<0.001)及PEF(P<0.001)均优于对照组。结论:呼吸功能锻炼操相较于传统肺术后康复训练方法,可以促进患者术后肺功能的恢复,提高患者运动耐量。
文章关键词
胸腔镜手术;肺功能康复训练;肺功能
参考文献
[1] K.A M,C.B B,Samuel K,et al.National Assessment of Early Discharge After Video-Assisted Thoracoscopic Surgery for Lung Resection [J].Journal of Surgical Research,2022,276242-250.
[2] MATHEY-ANDREWS C,ABRUZZO A R,VENKATESWARAN S,et al.Segmentectomy vs Lobectomy for Early Non-Small Cell Lung Cancer With Visceral Pleural Invasion[J].Ann Thorac Surg,2023.
[3] Suzuki K,Saji H,Aokage K,et al.Comparison of pulmonary segmentectomy and lobectomy:Safety results of a randomized trial[J].The Journal of Thoracic and Cardiovascular Surgery,2019,158(3):895-907.
[4] Yoshiteru A,Eiji N,Ritsuko T,et al.Short-Term Impact of Video-Assisted Thoracoscopic Surgery on Lung Function,Physical Function,and Quality of Life[J].Healthcare,2021,9(2):136-136.
[5] Hisashi S,Morihito O,Masahiro T,et al.Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L):a multicentre,open-label,phase 3,randomised, controlled,non-inferiority trial.[J].Lancet(London,England), 2022, 399(10335):1607-1617.
[6] Feng C,Gongchao W.Enhanced Recovery after Surgery for Lung Cancer Patients.[J].Open medicine(Warsaw,Poland), 2020, 15(1):198-203.
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