呼吸锻炼对肺癌术后患者肺功能和生活质量的影响  

Effect of Breathing Exercise on Lung Function and Quality of Life after Operation for Lung Cancer

作　　者：于海文[1] 徐东楚 刘永健[1] 冯婉婷[2] YU Hai-wen;XU Dong-chu;LIU Yong-jian;FENG Wan-ting(Department of General Surgery,Huai’an Huaiyin Hospital;Department of Oncology,the First Huai’an Hospital Affiliated of Nanjing Medical College,Huai’an 223300,China)

机构地区：[1]淮安市淮阴医院普外科 [2]南京医科大学附属淮安第一医院肿瘤内科,江苏淮安223300

出　　处：《实用临床医学（江西）》2018年第2期31-34,46,共5页Practical Clinical Medicine

摘　　要：目的观察长期的呼吸锻炼对肺癌术后患者肺功能及健康质量改善情况的影响。方法符合入选标准的肺叶切除术后的患者纳入研究,根据知情同意和自愿原则,分成干预组(n=41)和对照组(n=42)。干预组于术后1个月,每日9点、14点、19点3个时间段进行呼吸锻炼,持续1h·次-1;呼吸频率6次·min-1,即单次吸气、屏气、呼气的过程,总时间控制在10s。观察2组术前及术后1、6、12个月第一秒用力肺活量(FEV1)、用力肺活量(FVC)和FEV1/FVC比值,摄氧量最高值(VO2peak)和健康质量评估量表(SF-36)的变化。结果经过1年的术后随访,通过干预组和对照组的比较,认为呼吸锻炼能有效纠正手术所造成的肺功能障碍、改善肺功能状态(FEV1,FVC和FEV1/FVC,P<0.05),提高了摄氧量最高值(VO2 peak,P<0.001)。同时可能因为肺功能的改善,患者的健康质量也得到了显著的提高(P<0.05)。结论长期的呼吸锻炼简单易行,可有效改善肺癌患者术后肺功能及健康质量。Objective To investigate the effect of long-term breathing exercise on respiratory function and health quality after operation for lung cancer.Methods According to the informed consent and voluntary principles,patients who underwent pulmonary lobectomy and met inclusion criteria were divided into two groups:intervention group(n=41)and control group(n=42).Breathing exercise was performed for 1 hour respectively at 9 o’clock,14 o’clock and 19 o’clock every day 1 month after operation.The respiratory rate was 6 times per minute,and the process of inhalation,breath-holding and exhalation was completed within 10 seconds.The forced expiratory volume in one second(FEV 1),forced vital capacity(FCV),FEV 1/FVC ratio,peak oxygen uptake(VO 2 peak)and Mos 36-item short form health survey(SF-36)were observed before and 1,6 and 12 months after treatment.Results After 1 year of follow-up,compared with control group,pulmonary dysfunction was reversed,pulmonary function was improved and VO2 peak was increased in intervention group(P<0.05 or P<0.001).In addition,breathing exercise obviously enhanced the health quality of patients(P<0.05).Conclusion Long-term breathing exercise is simple,practicable and effective for improving pulmonary function and health quality after operation for lung cancer.

关 键 词：肺癌 术后 呼吸锻炼 呼吸功能 健康质量评估 

分 类 号：R734.2[医药卫生—肿瘤]