肺部胸腔镜术后早期排痰与呼吸训练联合运动治疗的临床研究探讨

Progress of clinical study of sputum expulsion and respiratory training combined with exercise therapy in early post-thoracoscopic lobectomy

肺部胸腔镜手术主要是针对肺结核、肺肿瘤、支气管扩张症等最常用的胸部术式之一,虽然创伤小,恢复快,但术后患者仍然会出现如肺部感染、肺不张、运动耐力下降等术后并发症,不利于患者重返术前的日常生活及社会。术后早期康复干预,包括呼吸训练、排痰训练、运动疗法等对于帮助肺部胸腔镜患者术后早日康复有重要的临床意义。本文对早期康复干预在肺部胸腔镜术后的临床研究探讨做简要综述。

Pulmonary thoracoscopy is one of the most commonly performed thoracic procedures mainly for tuberculosis,lung tumour and bronchiectasis.Although less invasive and quicker to recover,postoperative patients still suffer from postoperative complications such as pulmonary infection,pulmonary atelectasis and reduced exercise tolerance,which are detrimental to their return to their preoperative daily life and society.Early postoperative rehabilitation interventions,including respiratory training,sputum evacuation training and exercise therapy,are clinically important in helping patients with pulmonary thoracoscopy to recover early after surgery.This paper provides a brief review of the clinical studies investigating early rehabilitation interventions in the postoperative period after pulmonary thoracoscopy.