肺恶性肿瘤术前肺康复研究进展  

Research progress of preoperative pulmonary rehabilitation for pulmonary malignant carcinoma

作　　者：张弦飞 金润森[1] 张亚杰[1] 韩丁培[1] 陈凯[1] 李鹤成[1] ZHANG Xianfei;JIN Runsen;ZHANG Yajie;HAN Dingpei;CHEN Kai;LI Hecheng(Department of Thoracic Surgery,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai,200025,P.R.China)

机构地区：[1]上海交通大学医学院附属瑞金医院胸外科,上海200025

出　　处：《中国胸心血管外科临床杂志》2020年第9期1075-1080,共6页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：国家自然科学基金青年基金(81702841);上海市卫生和计划生育委员会科研项目青年基金(20164Y0253);上海市卫生和计划生育委员会上海市卫生系统优秀学科带头人项目(2017BR055);上海交通大学医学院高峰高原计划-“研究型医师”项目(20172005)。

摘　　要：手术是肺恶性肿瘤的主要治疗方式之一,然而手术本身会引起患者心肺功能损伤,部分患者因手术出现并发症,甚至死亡。术前肺康复属于快速康复外科的一部分,能改善患者的心肺功能,降低术后并发症发生率并缩短住院时间,在肺癌手术中已体现出其应用价值。本文对术前肺康复的三个重要组成部分相关内容,即戒烟、胸部物理治疗和术前运动训练进行综述,并探讨术前肺康复的发展趋势,以期肺恶性肿瘤的术前肺康复治疗得到更广泛和规范的应用。Surgery is an essential method of comprehensive treatment for lung cancer,but it also impairs patients’ cardiopulmonary function.A subset of patients who undergo surgery may suffer from postoperative complications,and even death.Preoperative pulmonary rehabilitation is a part of enhanced recovery after surgery,and can improve patients’ cardiopulmonary function,reduce postoperative complication rate and shorten hospital stay.It has been already demonstrated a great value in lung cancer surgery.In this review,we summarized the three important components of preoperative pulmonary rehabilitation,including smoking cessation,chest physical therapy,and preoperative exercise training.Moreover,this review outlined the development of pulmonary rehabilitation for lung malignancies,aiming to promote its application and standardization.

关 键 词：肺恶性肿瘤 术前肺康复 应用 发展 综述 

分 类 号：R734.2[医药卫生—肿瘤]