系统性呼吸训练对肺癌手术患者的影响  

Effect of Systemic Respiratory Training in Patients Undergoing Lung Cancer Surgery

作　　者：江国爱 何瑛 刘峰 JIANG Guo’ai;HE Ying;LIU Feng(Wuxi People's Hospital Affiliated to Nanjing Medical University,Wuxi 214000,China;不详)

机构地区：[1]南京医科大学附属无锡人民医院,江苏无锡214000

出　　处：《中外医学研究》2023年第34期83-86,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：无锡市卫生健康委科研项目(J202102)。

摘　　要：目的:探究系统性呼吸训练对肺癌手术患者的影响。方法:选取2018年1月—2021年2月南京医科大学附属无锡人民医院胸外科收治的170例肺癌手术患者作为研究对象。根据随机数表法将其分为对照组和观察组,各85例。对照组给予优质护理,观察组在对照组基础上给予系统性呼吸训练。比较两组护理前后肺功能、呼吸困难情况及相关指标。结果:护理后,观察组用力肺活量(FVC)、第1秒用力呼气容积与用力肺活量比值(FEV_(1))/FVC%、最大通气量(MVV)、肺一氧化碳弥散量(DLCO)均高于对照组,差异有统计学意义(P<0.05)。护理后,观察组改良版英国医学研究委员会呼吸困难问卷(mMRC)评分低于对照组,差异有统计学意义(P<0.05)。观察组置管时间及住院时间均短于对照组,术后肺部感染发生率低于对照组,差异有统计学意义(P<0.05)。结论:系统性呼吸训练干预肺癌患者,可以有效提升肺部通气功能,帮助患者减少呼吸困难的不良症状,缩短置管时间和住院时间。Objective:To explore the effect of systemic respiratory training in patients undergoing lung cancer surgery.Method:A total of 170 patients undergoing lung cancer surgery treated in the Department of Thoracic Surgery of Wuxi People's Hospital Affiliated to Nanjing Medical University from January 2018 to February 2021 were selected as the study objects.They were divided into control group and observation group according to random number table method,with 85 cases in each group.The control group was given high-quality nursing,and the observation group was given systemic respiratory training on the basis of the control group.Lung function,dyspnea condition before and after nursing and related indexes were compared between the two groups.Result:After nursing,the forced vital capacity(FVC),forced expiratory volume in one second(FEV_(1))/FVC%,the maximal voluntary ventilation(MVV),and the diffusion capacity for carbon monoxide of the lung(DLCO)in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After nursing,the score of modified British medical research council(mMRC)dyspnea questionnaire in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The catheterization time and hospitalization time in the observation group were shorter than those in the control group,and the incidence of postoperative pulmonary infection was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:The intervention of systemic respiratory training on lung cancer patients can effectively improve the lung ventilation function,help patients reduce the adverse symptoms of dyspnea,and shorten the time of catheterization and hospital stay.

关 键 词：系统性呼吸训练 呼吸操 肺癌 肺功能 置管时间 

分 类 号：R473.73[医药卫生—护理学]