围术期综合呼吸训练对非小细胞肺癌术后患者肺功能康复的影响研究

The Effect of Perioperative Comprehensive Respiratory Training on the Pulmonary Function Rehabilitation of Postoperative Patients with Non-small Cell Lung Cancer

目的分析围术期综合呼吸训练对非小细胞肺癌术后患者肺功能康复的影响.方法选取该院2019年3月-2021年4月收治的60例非小细胞肺癌术后患者为研究对象,根据随机数字表法将患者分为对照组、观察组,每组30例.对照组患者采用围术期手术常规干预,观察组在对照组基础上联合围术期综合呼吸训练.比较两组患者干预前后的肺功能、运动功能及生活质量.结果与干预前相比,两组患者干预后的第1秒用力呼气容积(forced expiratory volume in one second,FEV1)、最大呼气流量(peak expiratory flow,PEF)、用力肺活量(forced vital capacity,FVC)水平均升高,且观察组干预后的FEV1、FVC均显著高于对照组,组间差异有统计学意义(P<0.05).干预前,两组患者的6 min步行距离、Borg评分比较,组间差异无统计学意义(P>0.05);干预后,观察组患者的6 min步行距离长于对照组,Brog评分低于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的生理功能、社会功能、心理功能得分均显著高于对照组,组间差异有统计学意义(P<0.05).结论对接受手术治疗的非小细胞肺癌患者在围术期联合综合呼吸训练干预,更有利于肺功能及运动功能康复,值得临床推广.

Objective To analyze the effect of perioperative comprehensive respiratory training on the pulmonary function rehabilitation of postoperative patients with non-small cell lung cancer.Methods 60 postoperative patients with nonsmall cell lung cancer admitted to the hospital from March 2019 to April 2021 were selected as the research objects.The patients were divided into a control group and an observation group according to a random number table method,with 30 cases in each group.Patients in the control group received routine intervention during perioperative surgery,and the observation group was combined with comprehensive perioperative breathing training on the basis of the control group.Pulmonary function,motor function and quality of life were compared between the two groups of patients before and after intervention.Results Compared with before the intervention,forced expiratory volume in one second(FEV1),peak expiratory flow(PEF),and forced vital capacity(FVC)levels increased in the two groups of patients after interrention,and FEV1,PEF,and FVC in the observation group after intervention were significantly higher than those in the control group,the differences between the groups were statistically significant(P<0.05).Before the intervention,there was no statistically significant difference between the two groups of patients in 6 min walking distance and Borg score(P>0.05);after the intervention,the 6-min walking distance of the observation group was longer than that of the control group,and the Brog score was lower than that of the control group,the differences between the groups were statistically significant(P<0.05).After the intervention,the scores of physiological function,social function,and psychological function of the observation group were significantly higher than those of the control group,and the difference between the groups was statistically significant(P<0.05).Conclusion For patients with non-small cell lung cancer undergoing surgical treatment,combined with comprehensive breathing training intervention during the perioperative period is more conducive to the recovery of lung function and motor function,and it is worthy of clinical promotion.