阻力呼吸功能锻炼对非小细胞肺癌患者胸腔镜术后康复的影响

Effect of resistance respiratory function exercise on rehabilitation of patients with non-small cell lung cancer after thoracoscopic surgery

目的探讨阻力呼吸功能锻炼对非小细胞肺癌(NSCLC)患者胸腔镜术后康复的影响。方法抽取2019年2月至2021年2月南阳市第一人民医院收治的126例NSCLC患者作为研究对象,按照随机数字表法分为观察组与对照组,每组63例。对照组术后采取常规肺康复训练,观察组术后在对照组基础上采取阻力呼吸功能锻炼;全部患者均从术后3 d开始干预,且均干预1个月。比较两组患者干预前、干预1个月后的肺功能指标[第1秒用力呼气客积(FEV1)、第1秒用力呼气容积占用力肺活量百分比(FEV1/FVC)]、平静呼吸膈肌运动情况(膈肌运动幅度、膈肌运动时间)。结果干预1个月后,两组FEV1、FEV1/FVC均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预1个月后,两组膈肌运动幅度低于干预前,运动时间多于干预前,且观察组膈肌运动幅度低于对照组,运动时间多于对照组,差异有统计学意义(P<0.05)。结论阻力呼吸功能锻炼可显著改善NSCLC患者胸腔镜术后肺功能、膈肌功能,进而改善患者预后。

Objective To investigate the effect of resistance respiratory function exercise on the rehabilitation of patients with non-small cell lung cancer(NSCLC)after thoracoscopic surgery.Methods A total of 126 patients with NSCLC treated in Nanyang First People’s Hospital from February 2019 to February 2021 were selected as the research subjects.According to random number table method,they were divided into observation group and control group,with 63 cases in each group.The control group received routine lung rehabilitation training after operation,and the observation group received resistance respiratory function exercise based on the treatment of the control group after operation.All patients were intervened for 1 month from 3 days after operation.The pulmonary function indexes including forced expiratory volume in one second(FEV1)and FEV1/forced vital capacity(FVC),and diaphragmatic movement of calm breathing(diaphragmatic movement amplitude and diaphragmatic movement time)were compared between the two groups before and one month after intervention.Results After 1 month of intervention,FEV1 and FEV1/FVC in both groups were higher than those before intervention,moreover,FEV1 and FEV1/FVC in the observation group were higher than those in the control group(P<0.05);after 1 month of intervention,the diaphragm movement amplitude of the two groups were lower,and the exercise time of the two groups were longer,compared with these indexes before intervention,moreover,the observation group had lower range of diaphragm movement and longer exercise time,compared with the control group(P<0.05).Conclusions Resistance breathing exercise can significantly improve lung function and diaphragm function in patients with NSCLC after thoracoscopic surgery,which is helpful to improve the prognosis of patients.