肺康复对胸腔镜肺癌根治术病人肺功能、运动能力及生活质量的影响

    Effect of lung rehabilitation on lung function, exercise ability and quality of life in patients undergoing thoracoscopic radical resection of lung cancer

    • 摘要:
      目的评价肺康复对胸腔镜肺癌根治术病人肺功能、运动能力及生活质量的应用效果。
      方法前瞻性纳入行胸腔镜下肺癌根治术病人70例,其中35例作为观察组,开展肺康复训练,另35例作为常规组,接受常规护理。比较2组病人干预前后的肺功能指标、运动能力指标和生活质量评分。
      结果干预前,2组病人肺功能指标、运动能力指标和生活质量评分差异均无统计学意义(P>0.05)。干预8周后,观察组病人第1秒用力呼气容积、用力肺活量、最大通气量和6 min步行试验距离均较训练前改善(P < 0.05),且均优于常规组(P < 0.05);观察组生活质量各项评分均高于常规组(P < 0.05~P < 0.01)。
      结论肺康复有助于改善胸腔镜肺癌根治术病人肺功能和运动能力,提高病人生活质量。

       

      Abstract:
      ObjectiveTo evaluate the effect of lung rehabilitation on lung function, exercise ability and quality of life in patients undergoing thoracoscopic radical resection of lung cancer.
      MethodsA total of 70 patients undergoing thoracoscopic radical resection of lung cancer were prospectively included, among them, 35 patients undergoing lung rehabilitation training were set as the observation group, and other 35 patients receiving routine care were set as the routine group.The lung function indicators, exercise ability indicators, and quality of life scores of patients in the two groups before and after intervention were compared.
      ResultsBefore intervention, there were no significant differences in lung function indicators, exercise ability indicators, and quality of life scores of patients between the two groups (P>0.05).After 8 weeks of intervention, forced expiratory volume in the first second, forced vital capacity, maximum ventilation volume, and 6-minute walking test distance of patients in the observation group improved compared to before training (P < 0.05), and all were better than those in the routine group (P < 0.05);the quality of life scores in the observation group were higher than those in the routine group (P < 0.05 to P < 0.01).
      ConclusionsLung rehabilitation can help improve lung function and exercise ability of patients undergoing thoracoscopic radical resection of lung cancer, and improve the quality of life of patients.

       

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