简易呼吸功能锻炼对肺癌手术患者围手术期肺功能的影响

Effect of simple respiratory function exercises on pulmonary function of perioperative patients with lung cancer

目的评估简易呼吸功能锻炼对肺癌根治术患者术前肺功能的改善效果。方法选取2017年8月至2017年10月天津医科大学总医院肺部肿瘤外科70例肺癌患者,术前行吹气球、快速步行等简易呼吸功能锻炼方式,观察锻炼前后肺功能改善情况。结果经过简易呼吸功能锻炼后,患者用力肺活量(FVC)、第1秒肺活量(FEV1)、最大呼吸峰流速(PEF)、每分钟最大通气量(MVV)较锻炼前均有提高,差异有统计学意义(均P<0.05)。呼吸频率(BF)较锻炼前降低,差异有统计学意义(均P<0.05)。而潮气量(VT)与锻炼前相比,差异无统计学意义(P>0.05)。结论简易呼吸功能锻炼方式可改善肺癌患者的术前肺功能,提高患者对手术的耐受性,适用于临床应用。

Objective To explore the effect of improvement of pulmonary function of patients who accepted simple respiratory function exercises. Methods From August 2017 to October 2017, 70 patients were selected in this study. We observed and analyzed the improvement of lung function in patients before and after simple respiratory function exercises, such as balloon blowing, fast walking, and etc. Results After simple respiratory function exercises, the patients＇ forced vital capacity （FVC） , forced expiratory volume in the 1 st second （FEV1）, peak expiratory flow （PEF）, and maximum voluntary ventilation （MVV） were higher than those before the exercise, and the differences were statistically significant （all P〈0.05 ）. Breath frequency （BF） was lower than that before exercise, and the difference was statistically signifieant （P〈0.05）. There was no significant difference in tidal volume （VT） between before exercise and after exercise （ P〉0. 05 ）. Conclusions Simple respiratory function exercises could make an improvement of the pulmonary function, enhance the operative endurance and reduce complications.