Abstract
Efficacy of systemic pulmonary rehabilitation in the postoperative lung resection
  
DOI:
EN KeyWords: pulmonary rehabilitation  lung resection  efficacy  pulmonary function  visual analog scale  dyspnea scale
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作者单位
范泽荣 中国人民解放军第117医院杭州 310013 
徐志杰 第二军医大学学员旅上海 200433 
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EN Abstract:
  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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