| 范泽荣,徐志杰.肺切除术后系统性肺康复训练的效能研究[J].中国康复,2017,32(1):23-26 |
| 肺切除术后系统性肺康复训练的效能研究 |
| Efficacy of systemic pulmonary rehabilitation in the postoperative lung resection |
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| DOI： |
| 中文关键词: 肺康复 肺切除术 效能 肺功能 视觉模拟量表 呼吸困难量表 |
| 英文关键词: pulmonary rehabilitation lung resection efficacy pulmonary function visual analog scale dyspnea scale |
| 基金项目: |
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| 中文摘要: |
| 目的：研究肺癌患者行肺切除术后所接受的系统性肺康复训练的效能，评价患者术后半年内的生活质量变化趋势。方法：本院2016年1月接受肺切除的肺癌患者（对照组，10例）和2016年2~3月接受肺切除的肺癌患者（PR组，31例）分别接受相同临床医生定期提供的肺康复训练理论教育与肺康复训练协助管理，主要包括上下肢恢复运动、分段式呼吸与呼吸肌训练等项目。对患者在术前2周及术后2周、1个月、3个月和6个月进行了肺功能测试，测量用力肺活量（FVC）、第1秒用力呼气量（FEV1）、最大吸气压（MIP）、最大呼气压（MEP）与咳嗽峰流速（PCF）5个指标，并采用视觉模拟量表（VAS）和改良版伯格呼吸困难量表（MBS）对肺康复训练做综合性评价。结果：2组患者的各项肺功能测定值均随着时间的推移有了较为明显的改善（P＜0.05），且PR组在训练6个月后FVC水平较对照组明显提升（P＜0.05），但其余肺功能测定结果未见明显差异；相较于术后2周，PR组患者VAS及MBS评分在术后的第1个月即有了明显的降低（P＜0.05），而对照组出现这一明显降低的时间在术后的第3个月（P＜0.05），且PR组患者在术后第3个月及第6个月的VAS及MBS评分明显低于对照组（P＜0.05）。结论：临床医生协助与管理下的肺康复训练对肺癌患者肺切除术后的部分肺功能及生活质量的提升具有一定的促进作用，建议患者长期坚持出院后的自我康复管理从而获得更显著的改善效果。 |
| 英文摘要: |
| Objective: To study the efficacy of systemic pulmonary rehabilitation after lung resection in patients with lung cancer, and evaluate patients' quality of life in the postoperative time for half year. Methods: Patients with lung cancer after lung resection in our hospital in January 2016 and from February to March respectively received the theoretical education of pulmonary rehabilitation (control group, n=10) and assistance administration of pulmonary rehabilitation (PR group, n=31), mainly including the rehabilitation movement of upper and lower limbs, the segmented breath, and training of respiratory muscle. We conducted pulmonary function testing to all of the patients, including FVC, FEV1, MIP, MEP and PCF, and used a visual analog scale (VAS) and the modified Borg dyspnea scale (MBS) to systemically evaluate the efficacy of PR shortly before and 2 weeks, 1, 3, and 6 months after surgery. Results: The levels of pulmonary function in the two groups were improved apparently over time (P<0.05), and the FVC in PR group was improved significantly compared to the control group after six-month training (P<0.05) though the rest pulmonary function didn't show significant diversity. Compared to the VAS and MBS two weeks after the surgery, patients in the PR group showed apparent reduction after one month (P<0.05), while this significant reduction was seen in the control group 3 months after the surgery (P<0.05), and the VAS and MBS in the PR group were significantly lower than in the control group 3 and 6 months after the surgery (P<0.05). Conclusion: The pulmonary rehabilitation provided by the clinicians does contribute to the part recovery of pulmonary function and improvement of quality of life in patients with lung cancer who had underwent the lung resection surgery, so we suggest that the patients continue the self-management of rehabilitation after discharging the hospital for as long as possible so as to gain a more significant good effect. |
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