电刺激呼吸训练对非小细胞肺癌术后康复期患者的影响

Effect of electrical stimulation on respiratory training in patients with non-small cell lung cancer after convalescence

目的探讨电刺激呼吸训练对非小细胞肺癌术后患者康复期心肺功能和生命质量的影响。方法选取2017年1月至2018年2月在哈尔滨医科大学附属肿瘤医院接受治疗的肺癌术后稳定期患者136例为研究对象,按随机数字表法分为对照组67例,试验组69例。对照组患者采用常规护理和治疗,试验组患者在常规护理和治疗基础上实施4周电刺激呼吸训练,比较2组患者干预4、8、12周心肺功能和12周生命质量水平。结果试验组患者干预4、8、12周6min步行测试结果分别为(483.36±31.25)、(494.61±30.92)和(507.05±32.79)m,明显高于对照组的(472.06±29.64)、(482.85±31.15)和(490.18±32.01)m,差异有统计学意义(t=2.162、2.209、3.035,均P<0.01);试验组患者干预4、8、12周Borg指数分别为1.0(0.5,2.0)、0.5(0.0,1.0)、0(0.0,0.5),均显著低于对照组的2.0(1.0,2.0)、1.0(0.5,2.0)、0.5(0.5,1.0),差异有统计学意义(Z=2.225、2.692、3.236,均P<0.05);试验组患者干预12周生命质量中生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康维度评分分别为(88.42±13.52)、(73.64±19.83)、(80.51±15.32)、(70.22±14.92)、(69.64±13.09)、(85.28±16.95)、(75.93±18.22)、(71.24±12.61)分,明显高于对照组的(83.14±14.15)、(64.51±20.14)、(73.15±16.48)、(64.68±15.27)、(63.96±14.01)、(73.59±17.54)、(64.07±19.81)、(66.35±13.57)分,差异有统计学意义(t=2.140~3.636,均P<0.05)。结论电刺激呼吸训练可以改善非小细胞肺癌术后患者心肺功能和生命质量,促进术后患者的肺康复,值得临床广泛推广。

Objective To explore the effect of electrical stimulation breathing training on cardiopulmonary function and quality of life of patients with non-small cell lung cancer during rehabilitation period. Methods A total of 136 patients with lung cancer who were treated in Harbin Medical University of Cancer Hospital from January 2017 to February 2018 were randomly divided into control group (67 cases) and experimental group (69 cases). Patients in the control group were given routine nursing and treatment, while patients in the experimental group were given electrical stimulation breathing training for 4 weeks on the basis of routine nursing and treatment. Cardiopulmonary function and quality of life were compared between the two groups at 4, 8 and 12 weeks after intervention. Results The 6-minute walking test results in experimental group for 4, 8 and 12 weeks were (483.36±31.25),(494.61±30.92) and (507.05±32.79) m, which were significantly higher than those in control group (472.06±29.64),(482.85±31.15) and (490.18±32.01) m. The difference was significant (t= 2.162, 2.209, 3.035, all P < 0.01). Borg index in experimental group for 4, 8 and 12 weeks were 1.0 (0.5, 2.0), 0.5 (0.0, 1.0), 0.0 (0.0, 0.5), which were significantly lower than those in control group 2.0 (1.0, 2.0), 1.0 (0.5, 2.0), 0.5 (0.5, 1.0), and 0.5 (0.5, 1.0). The difference was significant (Z= 2.225, 2.692, 3.236, P < 0.05). The scores of physiological function, physiological function, physical pain, general health, vitality, social function, emotional function, mental health of quality of life in experimental group for 12 weeks were (88.42±13.52),(73.64±19.83),(80.51±15.32),(70.22±14.92),(69.64±13.09),(85.28±16.95),(75.93±18.22),(71.24±12.61), which were significantly higher than those in control group (83.14±14.15),(64.51±20.14),(73.15±16.48),(64.68±15.27),(63.96±14.01),(73.59±17.54),(64.07±19.81),(66.35±13.61). The difference was statistically significant (t=2.636-3.636, P < 0.05). Conclusions Electric stimulation breathing training can improve the cardiopulmonary function and quality of life of patients with non-small cell lung cancer after surgery, and promote lung rehabilitation of patients after surgery, which is worthy of clinical promotion.