Abstract:Objective To evaluate the effect of lung rehabilitation training implemented according to the degree of air leakage and risk factors after lung surgery. Methods A retrospective analysis was performed on the clinical data of 67 patients with air leakage after single-port thoracoscopic surgery in Nanjing Chest Hospital from November 2019 to January 2022. Thirty-two patients who received routine rehabilitation training program between November 2019 to November 2020 were assigned to control group, and 35 patients with improved pulmonary rehabilitation training program from December 2020 to January 2021 were assigned to modified group. The retention time of thoracic drainage tube, postoperative hospital stay, occurrence of pulmonary complications and patients' pain and satisfaction score were analyzed between two groups. Results Compared with control group, the retention time of thoracic drainage tube and postoperative hospital stay were significantly shorter, the incidence of extensive subcutaneous emphysema was significantly lower in modified group (P<0.01). The incidences of postoperative sputum retention, pulmonary infection and thoracic empyema in modified group were slightly lower than those in control group, but there was no statistical difference (P>0.05). The pain score and the satisfaction score in modified group were significantly superior to those in control group (P<0.01). Conclusion The modified pulmonary rehabilitation training program can accelerate the recovery of patients with air leakage after thoracoscopic lung surgery, reduce the occurrence of postoperative complications and improve patient comfort and satisfaction.