功能锻炼在非小细胞肺癌胸腔镜术后康复治疗中的应用

Effect of functional exercise on postoperative rehabilitation for non-small cell lung cancer after video-assisted thoracoscopic surgery

目的探讨功能锻炼在非小细胞肺癌(NSCLC)胸腔镜术后康复治疗中的应用效果。方法选取2015年6月至2016年6月中国医科大学附属盛京医院胸外科收治并经细胞学或组织学确诊为NSCLC拟行胸腔镜手术治疗的患者120例,按随机数表法将患者分为观察组和对照组,每组60例。住院期间对照组仅接受常规围术期护理,观察组在此基础上接受综合功能锻炼,统计并比较两组患者的拔管时间、住院时间、6 min步行实验(6MWK)距离、Karnofsky功能状态评分(KPS评分)和术后并发症。结果观察组和对照组患者术后总并发症发生率分别为3.33%和18.33%,差异有统计学意义(P<0.05);观察组患者的拔管时间、术后住院时间分别为(4.52±1.14)d、(6.91±1.80)d,均明显短于对照组的(5.33±2.25)d、(8.81±2.17)d,差异均有统计学意义(P<0.05);观察组患者的6MWK距离、KPS评分分别为(576.43±101.99)m、(90.2±7.5)分,均明显高于对照组的(467.82±116.37)m、(81.4±8.0)分,差异均有统计学意义(P<0.05)。结论功能锻炼可促进非小细胞肺癌术后康复,改善其生存质量。

Objective To investigate the effect of functional exercise on postoperative rehabilitation for non-small cell lung cancer （NSCLC） after video-assisted thoracoscopic surgery （VATS）. Methods A total of 120 pa-tients, who admitted to Department of Thoracic Surgery of Shengjing Hospital of China Medical University and con-firmed as NSCLC by cytology or histology methods from June 2015 to June 2016, were selected and divided into the ob-servation group and the control group according random number table, with 60 cases in each group. The control group only received routine perioperative care, while the observation group received additionally functional exercise on the ba-sis of the control group. The extubation time, length of stay, 6-minute walk test （6MWT）, Karnofsky Performance Status （KPS） scale and postoperative complications of the two groups were compared during the treatment. Results The total complication rates of the observation group and the control group were respectively 3.33%and 18.33%, and the difference was statistically significant （P〈0.05）. The extubation time, length of stay of the observation group were （4.52±1.14） d and （6.91±1.80） d, respectively, which were significantly shorter than the corresponding （5.33±2.25） d and （8.81±2.17） d inthe control group （P〈0.05）. The KPS scale and 6MWK of the observation group were respectively （90.2 ± 7.5） and （576.43 ± 101.99） m, which were significantly longer than （81.4 ± 8.0） and （467.82 ± 116.37） m in the control group （P〈0.05）. Conclusion Functional exercise can promote the postoperative rehabilitation of patients with NSCLC, and im-prove quality of life.