Objective: The aim of this preliminary study was to evaluate the feasibility of exercise testing (ET) for predicting postoperative complications in patients with impaired pulmonary function. Methods: Thirteen patients...Objective: The aim of this preliminary study was to evaluate the feasibility of exercise testing (ET) for predicting postoperative complications in patients with impaired pulmonary function. Methods: Thirteen patients were prospectively enrolled. The enrollment criteria were FEV1.0% 8 by the Goddard classification or interstitial pneumonia on chest computed tomography. Patients underwent testing for pulmonary function, six-minute walking test (6MWT), and stair-climbing test (SCT). Postoperative cardiopulmonary complications (PCPCs) were recorded. Results: Four patients developed PCPCs. There were no significant differences between the patients with PCPCs (n = 4) and those without PCPCs (n = 9) for background data and PFT. The distances achieved in the 6MWT were 503 ± 72.7 m for patients without PCPCs and 369 ± 50.7 m for patients with PCPCs (p = 0.011). The SCT climbing heights were 20.4 ± 5.3 m for patients without PCPCs and 14.9 ± 4.0 m for patients with PCPCs (P = 0.187). Cut-off points, including a 6MFT distance of less than 400 m, SCT height lower than 15 m, and SCT climbing speed less than 8.5 m/min, were predictive of CPCP. Conclusions: Exercise testing is more feasible for predicting postoperative cardiopulmonary complications than stationary pulmonary function testing.展开更多
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...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。展开更多
Background It is still unclear whether pulmonary function tests （PFTs） are sufficient for predicting perioperative risk,and whether all patients or only a subset of them need a cardiopulmonary exercise test （CPET）...Background It is still unclear whether pulmonary function tests （PFTs） are sufficient for predicting perioperative risk,and whether all patients or only a subset of them need a cardiopulmonary exercise test （CPET） for further assessment.Thus, this study was designed to evaluate the CPET and compare the results of CPET and conventional PFTs to identify which parameters are more reliable and valuable in predicting perioperative risks for high risk patients with lung cancer.Methods From January 2005 to August 2008, 297 consecutive lung cancer patients underwent conventional PFTs （spirometry ＋ single-breath carbon monoxide diffusing capacity of the lungs （DLCOsb） for diffusion capacity） and CPET preoperatively. The correlation of postoperative cardiopulmonary complications with the parameters of PFT and CPET was retrospectively analyzed using the chi-square test, independent sample t test and binary Logistic regression analysis.Results Of the 297 patients, 78 did not receive operation due to advanced disease stage or poor cardiopulmonary function. The remaining 219 underwent different modes of operations. Twenty-one cases were excluded from this study due to exploration alone （15 cases） and operation-related complications （6 cases）. Thus, 198 cases were eligible for evaluation. Fifty of the 198 patients （25.2%） had postoperative cardiopulmonary complications. Three patients （1.5%）died of complications within 30 postoperative days. The patients were stratified into groups based on VO2max/pred respectively. The rate of postoperative cardiopulmonary complications was significantly higher in the group with cardiopulmonary complications were significantly correlated with age, comorbidities, and poor PFT and CPET results.used to stratify the patients＇ cardiopulmonary function status and to predict the risk of postoperative cardiopulmonary predicting perioperative risk. If available, cardiopulmonary exercise testing is strongly suggested for high-risk lung cancer patients in addition to conventional pulmonary function tests, and both should be combined to assess cardiopulmonary function status.展开更多
文摘Objective: The aim of this preliminary study was to evaluate the feasibility of exercise testing (ET) for predicting postoperative complications in patients with impaired pulmonary function. Methods: Thirteen patients were prospectively enrolled. The enrollment criteria were FEV1.0% 8 by the Goddard classification or interstitial pneumonia on chest computed tomography. Patients underwent testing for pulmonary function, six-minute walking test (6MWT), and stair-climbing test (SCT). Postoperative cardiopulmonary complications (PCPCs) were recorded. Results: Four patients developed PCPCs. There were no significant differences between the patients with PCPCs (n = 4) and those without PCPCs (n = 9) for background data and PFT. The distances achieved in the 6MWT were 503 ± 72.7 m for patients without PCPCs and 369 ± 50.7 m for patients with PCPCs (p = 0.011). The SCT climbing heights were 20.4 ± 5.3 m for patients without PCPCs and 14.9 ± 4.0 m for patients with PCPCs (P = 0.187). Cut-off points, including a 6MFT distance of less than 400 m, SCT height lower than 15 m, and SCT climbing speed less than 8.5 m/min, were predictive of CPCP. Conclusions: Exercise testing is more feasible for predicting postoperative cardiopulmonary complications than stationary pulmonary function testing.
文摘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。
文摘Background It is still unclear whether pulmonary function tests （PFTs） are sufficient for predicting perioperative risk,and whether all patients or only a subset of them need a cardiopulmonary exercise test （CPET） for further assessment.Thus, this study was designed to evaluate the CPET and compare the results of CPET and conventional PFTs to identify which parameters are more reliable and valuable in predicting perioperative risks for high risk patients with lung cancer.Methods From January 2005 to August 2008, 297 consecutive lung cancer patients underwent conventional PFTs （spirometry ＋ single-breath carbon monoxide diffusing capacity of the lungs （DLCOsb） for diffusion capacity） and CPET preoperatively. The correlation of postoperative cardiopulmonary complications with the parameters of PFT and CPET was retrospectively analyzed using the chi-square test, independent sample t test and binary Logistic regression analysis.Results Of the 297 patients, 78 did not receive operation due to advanced disease stage or poor cardiopulmonary function. The remaining 219 underwent different modes of operations. Twenty-one cases were excluded from this study due to exploration alone （15 cases） and operation-related complications （6 cases）. Thus, 198 cases were eligible for evaluation. Fifty of the 198 patients （25.2%） had postoperative cardiopulmonary complications. Three patients （1.5%）died of complications within 30 postoperative days. The patients were stratified into groups based on VO2max/pred respectively. The rate of postoperative cardiopulmonary complications was significantly higher in the group with cardiopulmonary complications were significantly correlated with age, comorbidities, and poor PFT and CPET results.used to stratify the patients＇ cardiopulmonary function status and to predict the risk of postoperative cardiopulmonary predicting perioperative risk. If available, cardiopulmonary exercise testing is strongly suggested for high-risk lung cancer patients in addition to conventional pulmonary function tests, and both should be combined to assess cardiopulmonary function status.
