术前强化肺康复训练在老年肺癌手术患者中的应用效果

Application effects of preoperative intensive pulmonary rehabilitation training in elderly patients with lung cancer surgeries

目的:观察术前强化肺康复训练在老年肺癌手术患者中的应用效果。方法:选取60例老年肺癌手术患者为研究对象,按随机数字表法将其分为观察组(n=30)和对照组(n=30)。对照组采用常规护理,观察组在对照组基础上采用术前强化肺康复训练,比较两组入院时和术后1周肺功能指标[用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))、FEV_(1)/FVC]水平、呼吸功能恢复评分和并发症发生率。结果:术后1周,观察组FVC、FEV_(1)、FEV_(1)/FVC水平均高于对照组,差异有统计学意义(P<0.05);观察组咳嗽程度、痰液黏稠度、肺部啰音等呼吸功能恢复评分均低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为6.67%(2/30),低于对照组的26.67%(8/30),差异有统计学意义(P<0.05)。结论:在常规护理基础上采用术前强化肺康复训练可提高老年肺癌手术患者肺功能指标水平,降低呼吸功能恢复评分和并发症发生率,其效果优于单纯常规护理。

Objective:To observe application effects of preoperative intensive pulmonary rehabilitation training in elderly patients with lung cancer surgeries.Methods:60 elderly patients with lung cancer surgeries were selected as the research objects,and were divided into observation group(n=30)and control group(n=30)according to the random number table method.The control group received routine nursing,while the observation group received preoperative intensive pulmonary rehabilitation training on the basis of that of the control group.The levels of pulmonary function indexes[forced vital capacity(FVC),maximal exhalation after maximal deep inspiration(FEV_(1)),one-second rate(FEV_(1)/FVC)],the respiratory function recovery score and the incidence of complications were compared between the two groups at admission and 1 week after the surgery.Results:1 week after the surgery,the levels of FVC,FEV_(1),FEV_(1)/FVC and other pulmonary function indexes in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The cough degree,sputum viscosity,lung rales and other respiratory function recovery scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 6.67%(2/30),which was lower than 26.67%(8/30)in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the preoperative intensive pulmonary rehabilitation training can improve the levels of pulmonary function indexes in the elderly patients with lung cancer surgery,and reduce the respiratory function recovery score and the incidence of complications.Moreover,it is superior to single routine nursing.