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投稿时间：2023-12-26 网络发布日期：2024-12-21
投稿时间：2023-12-26 网络发布日期：2024-12-21
中文摘要: 目的 调查肺癌患者术后肺功能状态并探讨早期分阶段多元化肺康复训练干预效果。方法 选取2020年1月至2021年12月空军军医大学第二附属医院手术切除治疗的100例肺癌患者为研究对象，按随机数字表法分为观察组、对照组各50例。对照组实施常规康复干预，观察组在对照组基础上给予早期分阶段多元化肺康复训练。两组均干预至出院后3个月。比较两组的肺功能指标：第1s用力呼气量/用力肺活量（FEV1/FVC）、最大通气量（MVV）；呼吸功能：6分钟步行试验（6MWT）距离及6MWT后呼吸频率、心率，Borg呼吸困难量表评分；肌力评分量表（MRC）、癌因性Piper疲乏量表（PFS）评分情况。结果 术后1年，观察组遵医行为（健康作息、按时按量用药、营养饮食、每周运动）比例高于对照组，出现胸闷气短的比例低于对照组，FEV1/FVC、MVV高于对照组（P＜0.05）；观察组干预3个月后的6WMT后呼吸频率、6WMT后心率、Borg呼吸困难评分、PFS评分低于对照组（P＜0.01），FEV1/FVC值、MVV值、6WMT距离、MRC评分高于对照组（P＜0.01）。结论 在肺癌术后护理中实施早期分阶段多元化肺康复训练干预，能促进肺功能恢复，改善呼吸功能，提升呼吸肌肌力，降低癌因性疲乏。
Abstract:Objective To investigate the postoperative pulmonary function status of lung cancer patients and explore the effects of early staged multimodal pulmonary rehabilitation training interventions. Methods A total of 100 lung cancer patients who underwent surgical resection at the Second Affiliated Hospital of Air Force Medical University from January 2020 to December 2021 were selected as subjects. They were divided into observation group and control group (50 cases in each) using a random number table method. The control group received conventional rehabilitation intervention, while the observation group received early staged multimodal pulmonary rehabilitation training on top of the control group’s regimen. Both groups continued their respective interventions until 3 months after discharge. The two groups were compared based on the following measures: pulmonary function including forced expiratory volume in first second/forced vital capacity (FEV1/FVC) and maximal voluntary ventilation (MVV); respiratory function including 6-minute walk test (6MWT) distance, post-6MWT respiratory rate, heart rate, and Borg dyspnea scale score; muscle strength via Medical Research Council (MRC) scale; and cancer-related fatigue frgured by the Piper Fatigue Scale (PFS) score. Results One-year post-surgery, the observation group had higher compliance with medical advice (healthy lifestyle, medication adherence, nutritional diet, weekly exercise) and lower incidence of chest tightness and shortness of breath compared to the control group, with higher FEV1/FVC and MVV values (P＜0.05). After three months of intervention, the observation group showed lower post-6MWT respiratory rate, post-6MWT heart rate, Borg dyspnea score, and PFS score compared to the control group (P＜0.01), and higher FEV1/FVC, MVV, 6MWT distance, and MRC scores (P＜0.01). Conclusion Implementing early staged multimodal pulmonary rehabilitation training intervention in postoperative care for lung cancer can promote the recovery of pulmonary function, improve respiratory function, enhance respiratory muscle strength, and reduce cancer-related fatigue.
keywords: Lung cancer Surgical treatment Lung function Respiratory function Diversified pulmonary rehabilitation training Six-minute walk test Medical Research Couneil Scale Cancer-related fatigue Piper Fatigue Scale
文章编号： 中图分类号：R734.2 R473 文献标志码：A
基金项目:陕西省重点研发计划项目（2022SF-230）
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引用文本：
李敏，王孝彬，李彤彤.肺癌患者术后多元化肺康复训练的干预效果[J].中国临床研究,2024,37(12):1910-1914.
李敏，王孝彬，李彤彤.肺癌患者术后多元化肺康复训练的干预效果[J].中国临床研究,2024,37(12):1910-1914.