摘要
目的分析肺康复运动训练对非小细胞肺癌(NSCLC)化疗患者肺功能、癌因性疲乏及生活质量的影响.方法选取本院2019年6月—2021年7月收治的96例NSCLC患者为研究对象,随机将其分为对照组和观察组,每组48例.两组均采用培美曲塞联合顺铂方案化疗,对照组采用常规运动康复干预,观察组在此基础上进行肺康复运动训练,分析比较两组患者干预前后的肺功能、癌因性疲乏评分及生活质量评分.结果观察组干预后的各项肺功能指标均明显高于对照组,组间差异有统计学意义(P<0.05).观察组干预后的认知疲乏、躯体疲乏、行为疲乏、情感疲乏评分分别为(3.40±1.05)分、(4.05±1.10)分、(4.41±1.22)分、(3.69±1.06)分,均低于对照组,组间差异有统计学意义(P<0.05).观察组干预后的躯体功能、角色功能、认知功能、情绪功能、社会功能评分均显著高于对照组,组间差异有统计学意义(P<0.05).结论肺康复运动训练可明显改善NSCLC化疗患者的肺功能,缓解癌因性疲乏,提升其生活质量.
Objective To analyze the effects of pulmonary rehabilitation exercise training on lung function,cancer-related fatigue and quality of life in patients with non-small cell lung cancer(NSCLC)undergoing chemotherapy.Methods A total of 96 NSCLC patients admitted to our hospital from June 2019 to July 2021 were selected as the study subjects,and they were randomly divided into a control group and an observation group,with 48 cases in each groap.Both groups received pemetrexed combined with cisplatin chemotherapy,the control group received routine exercise rehabilitation intervention,and the observation group received pulmonary rehabilitation exercise training on this basis.The lung function,cancer-related fatigue score and quality of life score were analyzed and compared between the two groups before and after intervention.Results After intervention,the lung function indexes in the observation group were significantly higher than those in the control group,the differences between the groups were statistically significant(P<0.05).The scores of cognitive fatigue,physical fatigue,behavioral fatigue and emotional fatigue in the observation group were(3.40±1.05)points,(4.05±1.10)points,(4.41±1.22)points and(3.69±1.06)points,respectively,lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the scores of physical function,role function,cognitive function,emotional function and social function in the observation group were significantly higher than those in the control group,the differences between the groups were statistically significant(P<0.05).Conclusion Pulmonary rehabilitation exercise training can significantly improve lung function,relieve cancer-related fatigue and improve the quality of life of NSCLC patients undergoing chemotherapy.
作者
殷忠美
张金岭
YIN Zhongmei;ZHANG Jinling(Department of Gastroenterology,Affiliated Hospital of Shandong Medical College(Linyi Geriatric Hospital),Linyi Shandong,276004;Department of Oncology,Linyi People’s Hospital,Linyi Shandong,276002,China)
出处
《反射疗法与康复医学》
2022年第7期68-71,共4页
Reflexology And Rehabilitation Medicine
关键词
培美曲塞
顺铂
肺康复运动训练
非小细胞肺癌
肺功能
癌因性疲乏
生活质量
Pemetrexed
Cisplatin
Pulmonary rehabilitation exercise training
Non-Small cell lung cancer
Lung function
Cancer-Related fatigue
Quality of life
作者简介
殷忠美(1987-),女,山东临沂人,硕士研究生,主治医师,研究方向:消化内科及肿瘤科常见病诊治;通信作者:张金岭(1980-),男,山东菏泽人,博士研究生,副主任医师,研究方向:肿瘤临床和科研,邮箱:576757742@qq.com。