综合呼吸功能训练对老年肺肿瘤患者术后康复效果的影响

Effect of comprehensive respiratory function training on postoperative rehabilitation of elderly patients with lung cancer

目的 分析综合呼吸功能训练对老年肺肿瘤患者术后康复效果的影响。方法 60例老年肺肿瘤患者,采用完全随机方式分为对照组和实验组,每组30例。对照组患者采取常规干预,实验组患者在对照组基础上加用综合呼吸功能训练。对比两组患者干预前后呼吸功能指标[第1秒用力呼气容积占用力肺活量的百分比(FEV1/FVC)、用力肺活量占预计值的百分比(FVC%)、第1秒用力呼气容积占预计值的百分比(FEV1%)]、并发症(肺炎、肺不张)发生情况。结果 干预后,实验组患者FEV1/FVC、FVC%、FEV1%分别为(76.28±3.21)%、(69.23±2.56)%、(73.65±3.21)%,均高于对照组的(66.35±2.87)%、(60.23±2.24)%、(66.35±2.17)%,差异具有统计学意义(P<0.05)。实验组患者并发症发生率为6.67%,低于对照组的30.00%,差异具有统计学意义(P<0.05)。结论 综合呼吸功能训练应用于老年肺肿瘤患者的干预中,患者的呼吸功能更好,并发症发生率大大降低,具有应用价值。

Objective To analyze the effect of comprehensive respiratory function training on postoperative rehabilitation of elderly patients with lung cancer. Methods A total of 60 elderly patients with lung cancer were randomly divided into control group and experimental group, with 30 cases in each group. The control group received conventional intervention, and the experimental group received comprehensive respiratory function training based on the control group. Both groups were compared in terms of respiratory function indexes [forced expiratory volume in the 1st second as a percentage of forced vital capacity(FEV1/FVC), forced vital capacity as a percentage of the predicted value(FVC%), forced expiratory volume in the 1st second as a percentage of predicted value(FEV1%)], complications(pneumonia, atelectasis). Results After intervention, the FEV1/FVC, FVC%and FEV1% of the experimental group were(76.28±3.21)%,(69.23±2.56)% and(73.65±3.21)%, which were higher than(66.35±2.87)%,(60.23±2.24)% and(66.35±2.17)% of the control group, and the differences were statistically significant(P<0.05). The complication rate of the experimental group was 6.67%, which was lower than 30.00% of the control group, and the difference was statistically significant(P<0.05). Conclusion The application of comprehensive respiratory function training in the intervention of elderly patients with lung cancer has better respiratory function and low complication rate, which has application value.