摘要
目的探究胸腔镜肺叶切除术肺癌患者采用呼吸功能训练联合快速康复操的临床效果。方法选取临淄区妇幼保健院2022年3月—2023年2月收治的80例肺癌患者为研究对象,采用密闭信封法分为对照组(n=40)、研究组(n=40)。对照组入院后1 d至术前1 d进行呼吸功能训练,在此基础上,研究组术后练习快速康复操。比较两组患者的用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))、动脉血氧分压(PaO_(2))、动脉二氧化碳分压(PaCO_(2))水平及世界卫生组织生活质量评定量表简表(WHOQOL-100)评分,并对比两组患者的肛门排气时间、胸管保留时间、尿管保留时间及住院时间。结果术后7 d,两组的FVC、FEV_(1)水平均较术前减小,PaO_(2)水平均较术前降低,PaCO_(2)水平均较术前升高,但研究组的FVC、FEV_(1)水平均大于对照组,PaO_(2)水平高于对照组,PaCO_(2)水平低于对照组,差异有统计学意义(P<0.05)。术后7 d,研究组的WHOQOL-100中各维度评分均高于对照组,组间差异有统计学意义(P<0.05)。研究组的肛门排气时间、胸管保留时间、尿管保留时间及住院时间均短于对照组,组间差异有统计学意义(P<0.05)。结论胸腔镜肺叶切除术肺癌患者进行呼吸功能训练结合快速康复操,能改善其呼吸功能,有助于术后康复,从而提高其生活质量。
Objective To investigate the clinical effect of respiratory function training combined with rapid rehabilitation exercises in lung cancer patients undergoing thoracoscopic lobectomy.Methods 80 cases of lung cancer patients admitted to Linzi District Maternal and Child Health Hospital from March 2022 to February 2023 were selected as the study objects,and were divided into a control group(n=40)and a study group(n=40)by sealed envelope method.The control group underwent respiratory function training from the first day after admission to the first day before surgery.On this basis,the study group practiced rapid rehabilitation exercises after surgery.The levels of forced vital capacity(FVC),forced expiratory volume in one second(FEV_(1)),arterial partial oxygen pressure(PaO_(2)),arterial partial carbon dioxide pressure(PaCO_(2))and World Health Organization Quality of Life-100(WHOQOL-100)scores,and the anal exhaust time,chest tube retention time,urinary tube retention time and hospital stay were compared between the two groups.Results 7 days after surgery,the levels of FVC and FEV_(1)in both groups decreased compared with those before surgery,the levels of PaO_(2)were decreased compared with those before surgery,and the levels of PaCO_(2)were increased compared with those before surgery,but the levels of FVC and FEV_(1)in the study group were higher than those in the control group,the levels of PaO_(2)were higher than those in the control group,and the levels of PaCO_(2)were lower than those in the control group,with statistical significance(P<0.05).7 days after surgery,the WHOQOL-100 scores in the study group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).The anal exhaust time,chest tube retention time,urinary tube retention time and hospital stay in the study group were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Respiratory function training combined with rapid rehabilitation exercises for lung cancer patients undergoing thoracoscopic lobectomy can improve their respiratory function,contribute to postoperative rehabilitation,and thus improve their quality of life.
作者
王加邦
WANG Jiabang(Department of Thoracic Surgery,Linzi District Maternal and Child Health Hospital(Qidu Hospital),Zibo Shandong,255400,China)
出处
《反射疗法与康复医学》
2024年第7期188-191,共4页
Reflexology And Rehabilitation Medicine
关键词
肺癌
胸腔镜肺叶切除术
呼吸功能训练
快速康复操
呼吸功能
生活质量
Lung cancer
Thoracoscopic lobectomy
Respiratory function training
Rapid rehabilitation exercises
Respiratory function
Quality of life
作者简介
王加邦(1978-),男,山东淄博人,本科,主治医师,研究方向:胸腔镜术后康复。
