八段锦对非急性脓胸患者胸膜剥脱术后康复的作用  

Effect of Baduanjin on rehabilitation in patients with non-acute empyema thoracis after pleurectomy

作　　者：袁俊 刘亮 彭雷 吴昊[1] 尹随 章晔[1] 林庆[1] 柳阳春[1] 徐全[1] 陈立如[1] YUAN Jun;LIU Liang;PENG Lei;WU Hao;YIN Sui;ZHANG Ye;LIN Qing;LIU Yangchun;XU Quan;CHEN Liru(Department of Thoracic Surgery,Jiangxi Provincial People’s Hospital(First Affiliated Hospital of Nanchang Medical College),Nanchang 330006,China)

机构地区：[1]江西省人民医院(南昌医学院第一附属医院)胸外科,南昌330006

出　　处：《临床与病理杂志》2024年第4期572-579,共8页Journal of Clinical and Pathological Research

基　　金：江西省中医药管理局科技项目(2020B0209)。

摘　　要：目的:近年来研究发现八段锦对外科手术后患者的康复发挥重要作用。本研究拟探讨八段锦对非急性脓胸患者胸膜剥脱术后的康复作用。方法:回顾性分析65例接受胸膜剥脱术治疗的非急性脓胸患者的临床资料,根据康复方案不同分为八段锦康复组(n=28)和常规康复组(n=37);比较2组的手术临床指标、术后并发症和术后恢复情况,以及术后1个月随访时的肺功能指标[第1秒用力呼气量(forced expiratory volume in 1 second,FEV_(1))、用力肺活量(forced vital capacity,FVC)]。结果:2组患者的手术入路构成、手术时间、术中出血量等手术相关指标比较,差异均无统计学意义(均P>0.05)。与常规康复组对比,八段锦康复组术后并发症发生率较低(25.0%vs 51.4%,P<0.05),并发症降低主要体现在术后肺膨胀不全方面,差异有统计学意义(P<0.05)。2组患者术后开始下地时间比较,差异无统计学意义(P>0.05);但八段锦康复组术后胸管留置天数和术后住院天数均较常规康复组短,差异均有统计学意义(均P<0.05)。2组有效率均为100%,但八段锦康复组显效患者比例高于常规康复组,差异有统计学意义(P<0.05)。八段锦康复组在术后1个月时FEV_(1)和FVC均高于常规康复组,差异均有统计学意义(均P<0.05)。结论:八段锦可促进非急性脓胸患者胸膜剥脱术后早期康复,并促进出院后的肺康复,是一种安全有效的中医康复方法。Objective:Recent studies have found that Baduanjin plays an important role in the rehabilitation of patients after surgery.This study aims to explore the effect of Baduanjin on the rehabilitation of patients with non-acute empyema thoracis(NAET)after pleurectomy.Methods:The clinical data of 65 patients with NAET who underwent pleurectomy were retrospectively analyzed According to the different rehabilitation plans,patients were divided into the Baduanjin rehabilitation group(n=28)and the conventional rehabilitation group(n=37).The clinical surgical indicators,postoperative complications,postoperative recovery,and lung function indicators at one-month follow-up[forced expiratory volume in 1 second(FEV_(1)),forced vital capacity(FVC)]were compared between the two groups.Results:There were no statistically significant differences between the two groups in terms of surgical approach,operation time,intraoperative blood loss,and other clinical surgical indicators(all P>0.05).Compared with the conventional rehabilitation group,the Baduanjin rehabilitation group had a lower incidence of postoperative complications(25.0%vs 51.4%,P<0.05),mainly reflected in a significant reduction in postoperative lung atelectasis(P<0.05).There was no statistically significant difference in the time to start ambulation after surgery between the 2 groups(P>0.05),but the Baduanjin rehabilitation group had shorter postoperative chest tube duration and hospital stay compared to the conventional rehabilitation group,both with statistically significant differences(P<0.05).Both groups had an effectiveness rate of 100%,but the proportion of patients with significant improvement was higher in the Baduanjin rehabilitation group than in the conventional rehabilitation group,with a statistically significant difference(P<0.05).The Baduanjin rehabilitation group had higher FEV_(1) and FVC at one month post-surgery compared to the conventional rehabilitation group,with statistically significant differences(both P<0.05).Conclusion:Baduanjin can promote ea

关 键 词：八段锦 脓胸 胸膜剥脱术 康复 

分 类 号：R655[医药卫生—外科学]