以肺康复为核心的延续性干预在肺癌根治术患者中的应用  

Application of continuous intervention with pulmonary rehabilitation as the core in patients undergoing radical resection of lung cancer

作　　者：黄洪娟 周晓蕾[1] 张娟[1] HUANG Hongjuan;ZHOU Xiaolei;ZHANG Juan(Ward 3,Department of Respiratory and Critical Care,He’nan Provincial Chest Hospital,Zhengzhou 450000,He’nan,China)

机构地区：[1]河南省胸科医院呼吸与危重症三病区,郑州450000

出　　处：《癌症进展》2025年第5期564-567,共4页Oncology Progress

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20210230)。

摘　　要：目的探讨以肺康复为核心的延续性干预在肺癌根治术患者中的应用效果。方法将99例肺癌患者按照干预方式的不同分为观察组(n=49,以肺康复为核心的延续性干预)和对照组(n=50,常规干预)。比较两组患者的肺功能[用力肺活量(FVC)、第1秒用力呼气容积(FEV1)以及FEV1/FVC]、生活质量[癌症患者生命质量测定量表(FACT-G)]、并发症发生情况及满意度。结果干预3个月后,两组患者FEV1、FVC、FEV1/FVC均升高,且观察组患者FEV1、FVC、FEV1/FVC均高于对照组,差异均有统计学意义(P﹤0.05)。干预3个月后,两组患者FACT-G评分均降低,且观察组患者FACT-G评分低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者并发症总发生率低于对照组,满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论以肺康复为核心的延续性干预可促进肺癌根治术患者肺功能恢复,提高生活质量,减少并发症,提高满意度。Objective To explore the effects of continuous intervention with pulmonary rehabilitation as the core in patients undergoing radical resection of lung cancer.Method A total of 99 patients with lung cancer were divided into the observation group(n=49,continuous intervention with pulmonary rehabilitation as the core)and the control group(n=50,routine intervention)according to the different intervention methods.The pulmonary function[forced vital capacity(FVC),forced expiratory volume in one second(FEV1)and FEV1/FVC],quality of life[functional assessment of cancer therapy-general(FACT-G)],incidence of complications and satisfaction were compared between the two groups.Result After 3 months of intervention,FEV1,FVC and FEV1/FVC of the two groups increased,and FEV1,FVC and FEV1/FVC of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After 3 months of intervention,the FACT-G scores of the two groups decreased,and the FACT-G score of the observation group was lower than that of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the satisfaction was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Continuous intervention with pulmonary rehabilitation as the core can promote the recovery of lung function,improve the quality of life,reduce complications and improve satisfaction of patients with radical resection of lung cancer.

关 键 词：肺康复 肺癌根治术 满意度 并发症 延续性干预 生活质量 

分 类 号：R734.2[医药卫生—肿瘤]