早期目标锻炼对胸腔镜肺叶切除肺癌患者术后快速康复的影响

Effect of early target exercise on rapid recovery of patients with lung cancer after thoracoscopic lobectomy

目的:探讨早期目标锻炼对胸腔镜肺叶切除肺癌患者术后快速康复的影响。方法:选取医院胸外科住院并行胸腔镜肺叶切除术的72例肺癌患者,按入院时间分为对照组和干预组,各36例患者。对照组患者实施肺癌术后常规护理;干预组患者在常规护理基础上实施经专家会议修订的“肺叶切除术后早期目标锻炼方案”。结果:干预组患者术后肛门首次排气时间、胸腔闭式引流管留置时间、术后住院天数均显著短于对照组(P<0.05);干预组患者术后第1 d、第2 d、第3 d活动量显著长于对照组(P<0.05);干预组患者术后第1 d、第2 d活动时指脉氧饱和度较对照组高,差异有统计学意义(P<0.05)。结论:构建并实施胸腔镜肺叶切除术后早期目标锻炼方案可促进患者术后临床指标快速恢复,促进术后胃肠功能快速恢复,缩短术后胸腔闭式引流管留置时间和术后住院时间,提高患者术后活动耐力。

Objective:To explore the effect of early target exercise on rapid rehabilitation after thoracoscopic lobectomy in patients with lung cancer.Methods:72 patients with lung cancer who were hospitalized in the department of thoracic Surgery and underwent thoracoscopic lobectomy were selected.According to the time of hospitalization,there were 36 patients in control group and intervention group.The control group received conventional nursing after thoracoscopic lobectomy and lung cancer surgery;The intervention group implemented the"early target exercise program after lobectomy"revised by the expert meeting on the basis of conventional nursing.Results:The time of first postoperative anal exhaust,the retention time of thoracic closed drainage tube and the postoperative hospitalization days in the intervention group were significantly shorter than those in the control group(P<0.05);The activity on the first,second and third day after operation in the intervention group was significantly longer than that in the control group(P<0.05);The index pulse oxygen saturation on the first and second day after operation in the intervention group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:In this study,the implementation of early target exercise program after thoracoscopic lobectomy can promote the rapid recovery of postoperative clinical indicators,promote the rapid recovery of postoperative gastrointestinal function,shorten the postoperative retention time of thoracic closed drainage tube and postoperative length of stay,and improve patients'postoperative activity endurance.