呼吸运动训练对肺部微创术后患者肺功能的影响研究

Study on the Effect of Respiratory Exercise Training on Pulmonary Function of Patients After Minimally Invasive Lung Surgery

目的探讨呼吸运动训练对肺部微创术后患者肺功能的影响研究。方法选取2021年7月—2023年7月于福建医科大学附属南平第一医院胸心外科收治的肺部微创术后患者112例,采用随机数字生表法分为2组,各56例。对照组给予常规护理,干预组在常规组的基础上实施呼吸运动训练。干预时间为住院期间。比较2组患者的肺功能状态及治疗效果,其中肺功能状态比较2组患者的第1秒用力呼气容积(forced expiratory volumone second,FEV1)、用力肺活量(forced vital capacity,FVC)、FVC与FEV1比值(FEV1/FVC),治疗效果用患者的6 min步行试验(6-minute walk test,6MWT)及生活质量量表(the MOS item short fromhealth survey,SF-36)来评估。结果出院时,干预组的FEV1、FVC分别为(3.38±0.57)L、(4.52±0.66)L,高于对照组的(2.35±0.49)L、(3.37±0.53)L;干预组FEV1/FVC为(61.06±8.66)%,高于对照组的(56.73±8.29)%,差异均有统计学意义(P<0.05)。干预组6MWT中步行距离为(457.20±59.45)m,多于对照组(415.33±62.72)m,差异有统计学意义(P<0.05)。干预组患者的生活质量得分为(77.20±7.46)分,高于对照组的(65.33±8.12)分,差异有统计学意义(P<0.05)。结论临床中术后及时给予患者进行呼吸运动训练可以有效改善肺部微创术患者术后的肺功能状态及治疗效果,有效改善其生活质量。

Objective To explore the effect of respiratory exercise training on pulmonary function in patients after minimally invasive lung surgery.Methods From July 2021 to July 2023,a total of 112 patients who underwent minimally invasive lung surgery were admitted to the department of thoracic and cardiovascular surgery,at Nanping First Hospital of Fujian Medical University were collected.Patients were randomly divided into two groups using the random number generating table method,with 56 cases in each group.The control group received routine nursing care,while the intervention group underwent respiratory exercise training in addition to the routine care.The intervention period was during hospitalization.The pulmonary function status and treatment effects of the two groups were compared,including the first second forced expiratory volume(FEV1),forced vital capacity(FVC),and FEV1/FVC ratio.The treatment effect was assessed using 6-minute walk test(6MWT)and the MOS item short fromhealth survey(SF-36).Results At discharge,the FEV1 and FVC of the observation group were(3.38±0.57)L and(4.52±0.66)L,respectively,which were higher than(2.35±0.49)L and(3.37±0.53)L of the control group.The FEV1/FVC ratio of the observation group was(61.06±8.66)%,which was higher than(56.73±8.29)%of the control group,and the differences were statistically significant(P<0.05).The walking distance of the observation group patients in 6MWT was(457.20±59.45)m,which was higher than(415.33±62.72)m of the control group,and the difference was statistically significant(P<0.05).The quality of life score of the observation group patients was(77.20±7.46)points,which was higher than(65.33±8.12)points of the control group,and the difference was statistically significant(P<0.05).Conclusion In clinical practice,timely respiratory exercise training after surgery can effectively improve the pulmonary function status and treatment effects in patients after minimally invasive lung surgery,and effectively improve their quality of life.