肺康复在胸腔镜肺癌围手术期的应用效果

Application effect of pulmonary rehabilitation in the perioperative period of thoracoscopic lung cancer

目的探讨肺康复在胸腔镜肺癌围手术期的应用效果。方法回顾性选取九江市第一人民医院总院胸外科2020年2月至2021年2月行胸腔镜肺叶切除手术的100名肺癌患者作为研究对象,按围手术期处理方法分为对照组和观察组,手术均由同一治疗组医师完成。两组均给予胸腔镜肺癌手术常规围手术期处理,观察组在对照组基础上给予围手术期肺康复处理,观察两组术后肺部并发症发生率(包括肺部感染、脓胸)、术后住院时间,测定并记录第1秒用力呼气量(FEV1)及最大通气量(MVV)、6 min步行试验(6MWT)的差异。结果观察组患者的术后肺部并发症发生率为12.00%(6/50),低于对照组的64.00%(27/50),差异有统计学意义(P<0.05)。观察组患者的住院时间短于对照组,差异有统计学意义(P<0.05)。两组患者干预后的FEV1、MVV、6MWT均高于干预前,且干预后观察组患者的FEV1、MVV、6MWT均高于对照组,差异有统计学意义(P<0.05)。结论胸腔镜肺癌围手术期肺康复的应用效果好。

Objective To investigate the application of thoracoscopic pulmonary rehabilitation in perioperative period of lung cancer.Methods A total of 100 lung cancer patients who were selected from February 2020 to February 2021 in Department of Thoracic Surgery,the First People′s Hospital of Jiujiang City were retrospectively selected as the subjects.According to the perioperative treatment methods,100 patients were divided into control group and observation group.The surgeries were performed by doctors in the same treatment group.Both groups received routine perioperative treatment of thoracoscopic lung cancer surgery,and the observation group received perioperative pulmonary rehabilitation treatment on the basis of the control group.The incidence of postoperative pulmonary complications(including pulmonary infection and empyema),postoperative hospital stay,forced expiratory volume in the first second(FEV1),maximum ventilation(MVV)and 6 min walking test(6MWT)were measured and recorded between the two groups.Results The incidence of postoperative pulmonary complications in the observation group was 12.00%(6/50),lower than 64.00%(27/50)in the control group,the difference was statistically significant(P<0.05).The length of stay in the observation group was shorter than that in the control group,the difference was statistically significant(P<0.05).The FEV1,MVV and 6MWT of the two groups after intervention were higher than those before intervention,the FEV1,MVV and 6MWT of the observation group after intervention were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion The application effect of thoracoscopy in lung cancer perioperative period is good.