肺康复训练对肺癌患者术后预后的影响  

Effect of postoperative pulmonary rehabilitation on prognosis in patients with lung cancer

作　　者：张会慧[1] 李雪萍[1] 俞长君[1] 刘萍[1] 蔡雨星 

机构地区：[1]南京医科大学附属南京第一医院康复科,南京210000

出　　处：《中国肿瘤临床与康复》2016年第10期1228-1231,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨肺康复训练对肺癌患者术后临床效果及生活质量的影响。方法选取南京医科大学附属南京第一医院2010年5月至2014年5月收治的80例肺癌术后患者,采用随机数字表法分为观察组和对照组,每组40例。观察组患者采用肺康复训练干预,对照组采用常规护理干预,分析对比治疗前后肺癌患者临床效果及生活质量。结果观察组患者治疗后用力肺活量(FVC)、第1秒用力呼气溶积(FEV1)以及第1秒用力呼气溶积/用力肺活量(FEV1/FVC)肺功能指标数值均明显高于对照组,差异有统计学意义(P<0.01)。观察组患者治疗后躯体功能、社会功能、心理功能和物质生活均明显提高,与对照组比较,差异有统计学意义(P<0.01)。观察组患者治疗前后6 min步行实验差值为(47.78±6.78)m,对照组治疗前后差值为(8.00±3.89)m,两组比较,差异有统计学意义(P<0.01)。观察组患者治疗前后癌因性疲乏量表差值为(0.78±0.14),对照组治疗前后差值为(0.13±0.08),两组比较差异有统计学意义(P<0.01)。结论肺癌患者术后采用肺康复训练能够有效的改善病情,提高患者生活质量。Objective To investigate the effect of postoperative pulmonary rehabilitation on prognosis and quality of life in patients with lung cancer. Methods Select 80 patients treated with surgery for lung cancer in First Affiliated Hospital of Nanjing Medical University from May 2010 to May 2014. Using random number table,patients were divided into observation group and control group with 40 patients in each group. Patients in the observation group received pulmonary rehabilitation intervention,while patients in the control group received conventional nursing intervention for 1 month. Prognosis and quality of life before and after intervention were compared and analysed between the two groups. Results Pulmonary function indexes including forced vital capacity（ FVC）,forced expiratory volume in one second（ FEV1）,FEV1 / FVC in the observation group were significantly higher than those of control group after the intervention（ P〈 0. 01）; physical function,social function,psychological function and material life were significantly improved in the observation group after the treatment compared with control group（ P〈 0. 01）;difference of 6-minute walk test before and after treatment was（ 47. 78 ± 6. 78） m for the observation group and（ 8. 00 ± 3. 89） m for the control group（ P〈 0. 01）; difference of cancer-related fatigue before and after the treatment was（ 0. 78 ± 0. 14） for the observation group and（ 0. 13 ± 0. 08） for the control group（ P 〈0. 01）. Conclusion Postoperative pulmonary rehabilitation can effectively improve conditions and quality of life in patients with lung cancer.

关 键 词：肺肿瘤 外科手术 护理 生活质量 

分 类 号：R473.73[医药卫生—护理学]