|
|
|
| Effect of Cough Suppression Training Combined with Pulmonary Protective Active Circulatory Ventilation Training on Postoperative Rehabilitation of Lung Cancer Patients |
| WANG Jing, DAI Qi |
| Department of Thoracic Surgery,Shangluo Central Hospital,Shangluo Shaanxi 726000 |
|
|
|
|
Abstract 【Objective】 To investigate the effect of cough suppression training combined with pulmonary protective active circulatory ventilation training on postoperative rehabilitation of lung cancer patients. 【Methods】 From July 2019 to August 2021,150 patients with lung cancer who were admitted to the Cardiothoracic Surgery Department of the Shangluo Central Hospital were randomly divided into observation group and control group,with 75 patients in each group. The control group was given cough suppression training after surgery,while the observation group was given pulmonary protective active circulatory ventilation training on the basis of the control group. Before admission,4 days after surgery,and before discharge,all patients were examined for lung function indicators [forced expiratory volume (FEV1),forced vital capacity (FVC),and FEV1/FVC].The quality of life of the patients was evaluated using the QLQ-C30. The occurrence of respiratory complications in both groups of patients was also recorded. 【Results】 The FVC,FEV1,and FEV1/FVC in the observation group before admission,4 days after surgery,and before discharge were higher than those in the control group and the group before treatment (P<0.05). There was no statistically significant difference in the relevant indicators in the control group during the above time periods compared with those before treatment (P>0.05); Compared with before treatment,the scores of various indicators in the QLQ-C30 scale in the observation group improved significantly after treatment (P<0.05); The incidence of complications such as lung abscess,respiratory failure,atelectasis,and respiratory obstruction in the observation group was significantly lower than that in the control group,with a statistically significant difference (P<0.05). 【Conclusion】 Assisting with lung protective active circulatory ventilation training (mainly cough suppression training) on the basis of radical surgery for lung cancer can effectively improve patients' lung function,reduce the incidence of respiratory complications during the rehabilitation process,and improve patients' quality of life,which is worthy of clinical promotion and application.
|
|
Received: 28 July 2022
|
|
|
|
|
|
[1] 中国医师协会肿瘤医师分会. Ⅳ期原发性肺癌中国治疗指南(2020年版)[J].中华肿瘤杂志,2020,42(1):1-16.
[2] 张逊,杜喜群.肺癌外科治疗新进展[J].河北医科大学学报,2001,22(2):123.
[3] 宋立成,解立新. 呼吸危重症年度进展2021[J].中华结核和呼吸杂志,2022,45(1):83-87.
[4] 周宗团,宋凌志,谭华荣,等.主动循环呼吸训练联合肺保护性通气策略对胸腔镜下肺癌根治术后患者肺功能、炎症因子及氧化应激指标的影响[J].肿瘤预防与治疗,2021,34(9):838-842.
[5] 中华医学会肿瘤学分会,中华医学会杂志社,韩宝惠.中华医学会肿瘤学分会肺癌临床诊疗指南(2021版)[J].中华肿瘤杂志,2021,43(6):591-621.
[6] 邓琳.肺功能检查临床应用研究进展(2018-2019年度)[J].中国实用内科杂志,2020,40(9):777-781.
[7] 万崇华,杨铮,吴婷,等.癌症患者生命质量测定量表体系的测量学特性与应用[J].中华行为医学与脑科学杂志,2020,29(3):277-283.
[8] 薛璐,杨艳.肌电刺激联合渐进式肌肉放松训练在肺癌化疗患者中的应用价值[J].医学临床研究,2022,39(7):1082-1085.
[9] 李东航,姚颐,耿庆.中国临床肿瘤学会肺癌诊疗指南(2018版)更新解读[J].临床外科杂志,2019,27(1):36-39.
[10] 杨慧,陈瑞云,魏立,等.快速康复操对老年肺癌患者胸腔镜肺叶切除术后功能恢复的影响[J].中华物理医学与康复杂志,2020,42(6):555-558.
[11] 周益毅,徐仁伵.路易体痴呆的研究进展[J].中华老年医学杂志,2020,39(12):1492-1496.
[12] 王飞,谢晓鸿,林心情,等.基于真实世界数据对晚期非小细胞肺癌合并慢性阻塞性肺疾病患者治疗模式的探讨[J].中华结核和呼吸杂志,2020,43(5):450-454.
[13] 杜丽红,顾雪嫣.快速康复外科在周围型肺癌单孔胸腔镜肺叶切除术患者中的应用[J].医学临床研究,2021,38(8):1124-1127.
[14] 张卉颖,卢光奎,何绮月.肺保护性通气策略对QT间期延长综合征胸交感神经切断单肺通气术后早期炎症反应的影响[J].广东医学,2020,41(18):1904-1908. |
| [1] |
. [J]. JOURNAL OF CLINICAL RESEARCH, 2023, 40(3): 456-458. |
|
|
|
|
2023, Vol. 40 
