加速康复外科理念下呼吸专项训练在胸腔镜肺癌根治术患者中的应用

Application of Respirator y Specialized Training under the Enhanced Recovery after Surgery Concept in Patients Undergoing Thoracoscopic Radical Resection of Lung Cancer

目的探讨在胸腔镜肺癌根治术患者中应用加速康复外科(ERAS)理念下呼吸专项训练的效果。方法选取2023年1月至2024年1月本院行胸腔镜肺癌根治术的共计92例患者,以随机数表法分成干预组(n=46)与对照组(n=46),对照组给予常规呼吸训练,干预组给予ERAS理念下呼吸专项训练,比较两组围手术期指标、肺功能、生活质量、并发症。结果干预组术后排痰量较对照组更多(P<0.05),拔管、下床活动、住院时间更短(P<0.05);干预后两组第1秒用力呼吸容积(FEV1)、最大通气量(MVV)、呼气峰流速(PEF)升高(P<0.05),干预组较对照组更高(P<0.05);干预后两组肺癌患者生存质量测定量表(FACT-L)评分升高(P<0.05),干预组较对照组更高(P<0.05);统计并发症发生率,干预组(8.70%)较对照组(23.91%)更低(P<0.05)。结论ERAS理念下呼吸专项训练应用于胸腔镜肺癌根治术患者中,可促进术后排痰,缩短术后恢复时间,改善肺功能,提高生活质量,预防并发症发生。

Objective To explore the effect of respiratory specialized training under the enhanced recovery after surgery(ERAS)concept in patients undergoing thoracoscopic radical resection of lung cancer.Methods A total of 92 patients from January 2023 to January 2024 who were underwent thoracoscopic radical resection of lung cancer in our hospital were selected,and divided into the intervention group(46 cases,specialized respiratory training under the ERAS concept)and the control group(46 cases,routine respiratory training).The perioperative indicators,lung function,quality of life,and complications in both groups were compared.Results In comparision of the control group,the postoperative sputum volume in the intervention group was more(P<0.05),and the extubation,mobilization,and hospitalization time were shorter(P<0.05).After intervention,the first second forced breathing volume(FEV1),maximum ventilation volume(MVV),and peak expiratory flow rate(PEF)in both groups were increased(P<0.05),and in comparision of the control group,the intervention group was higher(P<0.05).After intervention,the functional assessment of lung cancer therapy scale(FACT-L)scores in both groups were increased(P<0.05),and in comparision of the control group,the intervention group was higher(P<0.05).In the incidence of complications,in comparision of the control group(23.91%),the intervention group(8.70%)was lower(P<0.05).Conclusion The application of respiratory specialized training under the ERAS concept in the intervention of patients undergoing thoracoscopic radical resection of lung cancer can promote postoperative sputum production,shorten postoperative recovery time,improve lung function,enhance quality of life,and prevent complications.