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茅 矛,闻 伟,耿灿茹,周天乐,陈 颖,陆 晓.老年肺癌患者围手术期肺康复训练对术后肺功能的影响[J].中国康复医学杂志,2020,(7):825~829
老年肺癌患者围手术期肺康复训练对术后肺功能的影响    点此下载全文
茅 矛  闻 伟  耿灿茹  周天乐  陈 颖  陆 晓
南京医科大学第一附属医院康复医学中心,210029
基金项目:江苏省高校优势学科建设工程资助项目(JX10231801)
DOI:10.3969/j.issn.1001-1242.2020.07.011
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摘要:
      摘要 目的:研究老年肺癌患者围手术期进行肺康复训练对其术后并发症及肺功能恢复的影响。 方法:选取2016年10月—2018年6月在江苏省人民医院行择期肺癌手术的老年肺癌患者40例随机分为两组,每组20例。两组患者除常规胸外科围手术期干预外,试验组患者入院时接受肺康复健康宣教,术前5天、术后3天增加系统性肺康复训练介入。对两组患者在入院、术后1个月均进行以下评估:肺功能相关参数FEV1、FEV、FEV1/FEV%、PEF,咳嗽效力评级,6min步行试验。记录患者术后发生肺部感染、肺不张、呼吸衰竭的例数,术后住院时间。 结果:两组患者入院时各数据组间无显著差异(P>0.05)。除FEV1/FEV%外(P>0.05),两组患者各项参数入院时与术后1个月后对比均存在组内显著性差异(P<0.001)。试验组患者比对照组术后出现并发症情况少、术后住院日短(P<0.05),术后1个月肺功能各参数均显著高于对照组(P<0.001)。 结论:老年肺癌患者进行围手术期肺康复训练可有效减少术后并发症发生率,并能促进肺功能恢复。
关键词:肺癌  快速康复外科  肺功能  围手术期康复
Effects of perioperative pulmonary rehabilitation training on postoperative pulmonary function and prognosis in elderly patients with lung cancer    Download Fulltext
Dept. of Rehabilitation,Nanjing First Hospital,Nanjing Medical University,Nanjing,210029
Fund Project:
Abstract:
      Abstract Objective: To investigate the effectiveness of perioperative-period pulmonary rehabilitation training on postoperative complication rate and recovery of lung function in elderly patients with lung cancer. Method: Forty cases of lung cancer patients with lung cancer surgery at Jiangsu Provincial People's Hospital between October 2016 and June 2018 were randomly divided into two groups, 20 cases in each group. Both groups was treated by conventional thoracic surgery treatment. Moreover, the experimental group was added admission education and systematic pulmonary rehabilitation training including 5 days` pre-pulmonary-rehab before surgery and 3 days` pulmonary-rehab after surgery. Evaluation of FEV1, FEV, FEV1/FEV%, PEF, 6MWT, cough-strength-score for each group were performed at beginning and 1 month after surgery. We also recorded the occurrence rate of pulmonary infection, respiratory failure or atelectasis, and the postoperative hospitalization duration for each groups. Result: The baseline data were similar in both groups (P>0.05), while significant differences were detected between baseline and endpoint (P<0.001) except FEV1/FEV% (P>0.05). The patients in the experimental group had fewer complications and shorter postoperative hospitalization than the control group (P<0.05). 1 month after surgery, all parameters of lung function were significantly higher than the control group (P<0.001). Conclusion: Elderly lung cancer patients with perioperative pulmonary rehabilitation training can effectively reduce the incidence of complications and promote lung function recovery.
Keywords:lung cancer  enhanced recovery after surgery  pulmonary function  perioperative pulmonary rehabilitation training
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