不同微创肺癌根治术后疼痛应激与心肺运动耐力的研究

Effects of Different Minimally Invasive Radical Resection of Lung Cancer on Postoperative Pain Stress and Cardiopulmonary Exercise Endurance in Lung Cancer Patients

目的研究不同微创肺癌根治术对肺癌患者术后疼痛应激与心肺运动耐力的影响。方法选取2017年5月至2019年9月我院胸外科收治的行微创肺癌根治术60例,采用随机分组方式,分为单操作孔胸腔镜手术组(下文简称单孔组)与胸腔镜辅助小切口手术组(下文简称辅助组),每组各30例。观察两组患者术后疼痛应激与心肺运动耐力各项指标。结果单孔组在术后疼痛应激与心肺运动耐力各项指标方面均显著优于辅助组。结论对肺癌患者的手术治疗,推荐使用创口总面积更小的微创手术方式,可降低患者术后疼痛应激度,提高心肺运动耐力,临床疗效显著,值得推广。

Objective To study the effects of different minimally invasive radical resection of lung cancer on postoperative pain stress and cardiopulmonary exercise endurance in lung cancer patients.Methods A total of 60 patients with lung cancer who underwent minimally invasive radical resection of lung cancer admitted to the department of thoracic surgery in our hospital from May 2017 to September 2019 were selected and randomly divided into the single-hole thoracoscopic surgery group(hereinafter referred to as the single-hole group)and the thoracoscopic assisted small-incision surgery group(hereinafter referred to as the auxiliary group),with 30 patients in each group Postoperative pain stress and cardiopulmonary exercise endurance were observed in the two groups.Results The single well group was significantly better than the auxiliary group in terms of postoperative pain stress and cardiopulmonary exercise endurance.Conclusion For the surgical treatment of lung cancer patients,it is recommended to use a minimally invasive surgical method with a smaller total wound area,which can reduce the postoperative pain stress of patients and improve the cardiopulmonary exercise endurance.It has significant clinical efficacy and is worth promoting.