早期量化活动联合规范化呼吸训练对食管癌患者术后恢复的影响  

Effect of early quantitative activities combined with standardized breathing training on postoperative recovery of patients with esophageal cancer

作　　者：陈晓娜[1] 王弘[1] 王彤[1] 王芳[1] 李静妍 朱雯玉 CHEN Xiaona;WANG Hong;WANG Tong(Sixth Department of Thoracic Surgery,the Fourth Hospital of Hebei Medical University,Hebei,Shijiazhuang 050011,China)

机构地区：[1]河北医科大学第四医院胸外六科,石家庄市050011

出　　处：《河北医药》2023年第19期2976-2979,共4页Hebei Medical Journal

基　　金：河北省医学科学研究课题计划(编号:20201060)。

摘　　要：目的探讨早期量化活动联合规范化呼吸训练对食管癌术后患者恢复的影响。方法选取2022年5~10月收治的86例食管癌患者为研究对象,将病例随机分为试验组(43例)和对照组(43例)。对照组行常规护理干预,试验组在此基础上,使用早期量化活动方案联合规范化呼吸功能训练的护理干预。比较2组首次排气时间、运动耐量指标(PaO_(2)、PaCO_(2))、生活质量、住院时间及满意度。结果试验组术后首次排气时间早于对照组;住院时间缩短;术后第1天和第7天运动耐量指标(PaO_(2)、PaCO_(2))的改善情况均优于对照组,差异有统计学意义(P<0.01);试验组生活质量中躯体功能、角色功能、情绪功能、认知功能、社会功能等维度生活质量评分高于对照组(P<0.01);满意度有所提高。结论食管癌术后患者早期应用量化活动联合规范化呼吸训练能促进胃肠功能恢复,改善肺功能,提高生活质量。Objective To investigate the effect of early quantitative activities combined with standardized breathing training on the postoperative recovery of patients with esophageal cancer.Methods A total of 86 patients with esophageal cancer admitted from May 2022 to October 2022 were selected and randomly divided into experimental group(43 cases)and control group(43 cases).All patients were managed by routine nursing intervention,and those in the experimental group were additionally managed by an early quantitative activity program combined with standardized respiratory function training nursing intervention.The time to first postoperative exhaust,exercise tolerance indexes(partial pressure of oxygen[PaO_(2)],partial pressure of carbon dioxide[PaCO_(2)]),quality of life,length of stay and satisfaction were compared between groups.Results The time to first postoperative exhaust in the experimental group was earlier than that in the control group,and the length of hospital stay was shortened.The improvement of exercise tolerance indexes(PaO_(2)and PaCO_(2))on day 1 and day 7 after surgery in the experimental group were significantly better than those in the control group(P<0.01).The scores of physical function,role function,emotional function,cognitive function and social function in the experimental group were significantly higher than those in the control group(P<0.01).Satisfaction increased in the experimental group.Conclusion The application of early quantitative activities combined with respiratory function training can promote gastrointestinal function recovery,improve lung function and quality of life in patients with esophageal cancer after surgery.

关 键 词：量化活动方案 呼吸功能训练 术后恢复 

分 类 号：R735.1[医药卫生—肿瘤]