聚焦解决模式联合阻力呼吸训练对促进肺癌根治术后患者康复的效果观察

Effect of Focused Solution Mode Combined with Resistance Breathing Training on Promoting Recovery of Patients after Radical Lung Cancer Surgery

目的:探讨聚焦解决模式联合阻力呼吸训练对促进肺癌根治术后患者康复的效果。方法:选取2020年2月-2022年10月于滨州医学院附属医院行肺癌根治术治疗的患者140例为研究对象,根据随机数字表法分为对照组和试验组,各70例。对照组给予常规护理干预,试验组在对照组基础上给予聚焦解决模式联合阻力呼吸训练干预。比较两组患者干预前后肺通气功能和肺换气功能、免疫功能指标水平。结果:干预后,两组第1秒用力呼气量、用力肺活量、最大通气量均高于干预前,且试验组高于对照组,差异有统计学意义(P<0.05);干预后,动脉血氧分压、血氧饱和度水平高于对照组,呼吸频率低于对照组,且试验组优于对照组,差异有统计学意义(P<0.05);干预后,两组CD4^(+)和CD4^(+)/CD8^(+)高于干预前,CD8^(+)低于干预前,且试验组优于对照组,差异有统计学意义(P<0.05)。结论:聚焦解决模式联合阻力呼吸训练干预措施可改善肺癌根治术后患者肺通气和换气功能水平,提高免疫功能。

Objective:To explore the effect of focused solution mode combined with resistance breathing training on the rehabilitation of patients with lung cancer after radical surgery.Methods:A total of one hundred and forty lung cancer patients who underwent radical resection of lung cancer in the Affiliated Hospital of Binzhou Medical College from February 2020 to October 2022 were selected as the study objects,and were divided into control group and experimental group according to random number table method,with seventy cases in each group.The control group was given routine nursing intervention,and the experimental group was given focused solution mode combined with resistance breathing training intervention on the basis of the control group.The levels of pulmonary ventilation function,pulmonary ventilation function and immune function before and after intervention were compared between the two groups.Results:After intervention,forced expiratory volume,forced vital capacity and maximum volume of gas in the first second of both groups were higher than before intervention,and the experimental group was higher than the control group,the difference was statistically significant(P<0.05);after intervention,the level of arterial partial oxygen pressure and saturation of blood oxygen was higher than that of control group,and the respiratory rate was lower than that of control group,the experimental group was higher than the control group,and the difference was statistically significant(P<0.05);after intervention,CD4^(+)and CD4^(+)/CD8^(+)in both groups were higher than before intervention,and CD8^(+)was lower than before intervention,the experimental group was better than the control group,the difference was statistically significant(P<0.05).Conclusion:Focused solution mode combined with resistance breathing training intervention can improve the level of lung ventilation function and lung exchange function,and improve the immune function of patients after radical lung cancer surgery.