术前肺康复训练对肺癌合并轻-中度慢性肺疾病患者术后康复的影响分析

Effect of preoperative pulmonary rehabilitation training on postoperative rehabilitation of patients with lung cancer complicated with mild or moderate chronic lung disease

目的探讨分析术前肺康复训练对肺癌合并轻-中度慢性肺疾病患者的影响。方法回顾性分析2017年4月31日至12月31日在该院胸外科行肺叶切除的原发性非小细胞肺癌合并轻-中度慢性肺疾病患者,共34例,分为试验组和对照组,每组17例患者。对照组进行常规术前准备,而试验组在对照组的基础上进行术前肺康复训练。分别比较术后住院和抗菌药物使用时间、肺部并发症发生率及运动能力。结果与对照组比较,试验组患者住院及抗菌药物使用时间明显减少(P=0.000)、术后呼吸功能障碍(P=0.000)及肺部感染(P=0.044)的发生率降低,主动运动距离(P=0.000)及自理能力(P=0.002)显著提高。结论术前肺康复训练能够显著降低合并轻-中度慢性肺疾病肺癌患者术后并发症的发生率,加速患者康复。

Objective To investigate and analyze the effect of preoperative pulmonary rehabilitation training on patients with lung cancer complicated with mild-or-moderate chronic lung disease.Methods A retrospective analysis of 34 patients with primary non-small cell lung cancer complicated with mild to moderate chronic lung disease who underwent lobectomy in the thoracic surgery from April 2017 to December 2017 were divided into the experimental group and the control group with 17 patients in each groups.The experimental group received preoperative rehabilitation training,while the control group received routine preoperative preparation only.The postoperative hospitalization and antibacterial-use time,the incidence of pulmonary complications and exercise capacity were compared.Results Compared with the control group,the hospitalization time and antibacterial-use time(P=0.000),the postoperative respiratory dysfunction(P=0.000)and the incidence of pulmonary infection(P=0.044)significantly reduced,the active exercise distance(P=0.000)and self-care ability(P=0.002)were significantly improved in the experimental group.Conclusion Preoperative pulmonary rehabilitation training can significantly reduce the incidence of postoperative complications in patients with lung cancer complicated with chronic lung diseases and accelerate the recovery of patients.