负氧离子联合康复运动对老年肺叶切除术后肺功能的影响

The influence of negative oxygen ion combined with rehabilitation exercise on the lung function after lobectomy in the elderly patients

目的探究负氧离子联合康复运动干预对老年胸腔镜肺叶切除术患者肺功能和生命质量的影响。方法选取2018年2月至2020年7月在上海市肺科医院就诊的196例接受胸腔镜肺叶切除术治疗的老年患者作为研究对象。用随机数字表法将患者分为2组,对照组和观察组各98例。对照组给予康复运动干预,观察组在对照组基础上给予负氧离子干预。干预前和干预3个月后比较2组的肺功能和生命质量。结果2组干预前肺功能和生命质量比较差异无统计学意义(P>0.05)。干预后,观察组的肺活量(VC)、第1秒用力呼气量(FEV_(1))、用力肺活量(FVC)和FEV_(1)/FVC分别为(3.82±0.83)L、(2.53±0.34)L、(3.71±1.22)L、(68.79±10.48)%,高于对照组的(3.15±0.68)L、(1.61±0.28)L、(3.07±1.12)L、(55.56±10.08)%,差异有统计学意义(t值为3.826~20.678,均P<0.01)。干预后,观察组的生理功能、生理职能、躯体疼痛、精力、社会功能、一般健康状况、情感职能、精神健康和总分分别为(70.34±4.45)、(86.53±6.51)、(83.64±7.35)、(84.38±5.50)、(82.87±6.14)、(79.51±6.22)、(81.38±6.75)、(75.41±5.62)、(80.51±15.26)分,高于对照组的(61.32±4.06)、(76.92±6.41)、(74.30±5.80)、(74.15±6.07)、(75.34±5.12)、(70.30±5.48)、(73.50±5.26)、(61.32±4.18)、(70.89±12.34)分,差异有统计学意义(t值为4.853~19.915,均P<0.01)。结论负氧离子联合康复运动干预效果显著,可有效提高老年胸腔镜肺叶切除术患者的肺功能和生命质量。

Objective To explore the effect of negative oxygen ion combined with rehabilitation exercise intervention on lung function and quality of life of elderly patients undergoing thoracoscopic lobectomy.Methods Totally 196 elderly patients treated with thoracoscopic lobectomy in Shanghai Pulmonary Hospital from February 2018 to July 2020 were prospectively selected as study subjects.The 196 patients were divided into 2 groups by random number table method:control group(n=98)and observation group(n=98).The control group was given rehabilitation exercise intervention,and the observation group was given negative oxygen ion intervention on the basis of the control group.After 3 months of intervention,the lung function and quality of life were compared between the two groups.Results There was no significant difference in the lung function and quality of life before intervention between the two groups(P>0.05).After intervention,the vital capacity(VC),forced expiratory volume in the first second(FEV_(1)),forced vital capacity(FVC)and FEV_(1)/FVC of the observation group were(3.82±0.83)L,(2.53±0.34)L,(3.71±1.22)L,(68.79±10.48)%,which were higher than(3.15±0.68)L,(1.61±0.28)L,(3.07±1.12)L,(55.56±10.08)%of the control group,and the differences were statistically significant(t values were 3.826-20.678,P<0.01).After intervention,the physiological function,physiological function,physical pain,energy,social function,general health status,emotional function,mental health and total score of the observation group were(70.34±4.45)points,(86.53±6.51)points,(83.64±7.35)points,(84.38±5.50)points,(82.87±6.14)points,(79.51±6.22)points,(81.38±6.75)points,(75.41±5.62)points,(80.51±15.26)points,which were higher than(61.32±4.06)points,(76.92±6.41)points,(74.30±5.80)points,(74.15±6.07)points,(75.34±5.12)points,(70.30±5.48)points,(73.50±5.26)points,(61.32±4.18)points,(70.89±12.34)points of the control group,and the differences were statistically significant(t values were 4.853-19.915,P<0.01).Conclusion The negative oxygen ion combined with rehabilitation exercise intervention has a significant effect and can effectively improve the lung function and quality of life of elderly patients undergoing thoracoscopic lobectomy.