系统呼吸训练对肺癌患者术后短期呼吸运动功能的疗效

关键词：肺癌  呼吸训练  术后康复  6min步行试验

Keywords:lung cancer  respiratory training  postoperative rehabilitation  six-minute walk test

摘要：

      摘要 目的：探讨系统呼吸训练对肺癌患者术后短期的呼吸运动功能改善情况，以及对术后住院治疗时间的影响。 方法：将80例肺癌患者随机分为训练组40例和对照组40例，训练组在常规的肺癌术前宣教、手术治疗及术后护理的基础上，从入院日至出院日（手术日除外）均给予系统的呼吸训练干预治疗；对照组接受常规的肺癌术前宣教、手术治疗及术后护理，但未给予系统的呼吸训练干预治疗。两组患者入院时均采用肺功能测定、Borg量表、6min步行试验评估呼吸运动功能，出院时均采用Borg量表、6min步行试验、术后住院治疗时间评估术后呼吸运动功能疗效。 结果：两组患者入院时肺功能测定、Borg评分和6min步行试验比较，组间差异无显著性意义（P>0.05）；经过系统的呼吸训练，手术后出院时，训练组Borg评分低于对照组（训练组vs.对照组，1.43±0.96分 vs. 2.25±1.17分，P<0.01），训练组6min步行距离长于对照组（训练组vs.对照组，360.10±45.23m vs. 309.65±79.59m，P<0.01），训练组术后住院天数亦明显短于对照组（训练组vs.对照组，9.05±2.80d vs.11.73±2.97d，P<0.01）。术后训练组出现1例肺炎并发症患者，对照组出现1例肺炎和1例心律失常并发症患者，组间并发症几率差异比较无显著性意义（P>0.05）。 结论：系统呼吸训练可改善肺癌患者术后住院期间短期的呼吸运动功能，并缩短术后住院治疗时间。

Abstract:

      Abstract Objective: To study the short-term effect of systematically respiratory training on the respiratory function and motor function as well as the length of hospital stay of post-operation for patients with lung cancer operation. Method: Eighty cases were randomly divided into a training group (n=40) and a control group (n=40). In addition to preoperative instruction, lung cancer surgical treatment and postoperative nursing, the training group received systematically respiratory training from the day of admission to hospital to the day of discharge from hospital (except the day of operation). The control group received preoperative instruction, lung cancer surgical treatment and postoperative nursing without systematically respiratory training. Respiratory function and motor function were assessed by pulmonary function test, Borg scale and six-minute walk test（6MWT） in the two groups on the day of admission to hospital, respectively. Respiratory function and motor function were assessed by Borg scale, six-minute walk test and the length of hospital stay after operation in the two groups on the day of discharge from hospital. Result: Pulmonary function test, Borg scale and six-minute walk test were compared between the two groups on the day of admission to hospital, and there was no significant difference (P>0.05). Borg scale, six-minute walk test and the length of hospital stay after operation were compared between the two groups on the day of discharge from hospital. Borg scale of the training group was significantly lower than that of the control group (training group vs. control group，1.43±0.96 vs. 2.25±1.17，P<0.01), the six-minute walk distance of the training group was significantly longer than that of the control group (training group vs. control group，360.10±45.23m vs. 309.65±79.59m，P<0.01), and the length of hospital stay after operation in the training group was significantly shorter than that in the control group (training group vs. control group, 9.05±2.80d vs.11.73±2.97d，P<0.01). There was no significant difference in the probability of complications after operation between two groups (P>0.05). Conclusion: Systematically respiratory training can improve the short-term respiratory function and motor function in patients with lung cancer operation, and shorten the length of hospital stay after operation.