摘要
目的 探讨基于加速康复外科理念的肺癌围术期肺康复训练方案的应用效果。方法 选取2023年1—6月本院行肺部手术的患者90例,并随机分为对照组与观察组,各45例。对照组采用常规围手术期护理方案,观察组在对照组基础上联合肺癌围手术期肺康复训练方案,比较2组肺功能[包括第1秒用力呼气量(FEV_(1))、FEV_(1)与用力肺活量(FVC)比值(FEV_(1)/FVC)]、6分钟步行试验(6MWT)、术后住院时间、手术后首次下床活动时间、胸腔引流管实际留置时间及肺部并发症发生情况。结果 2组干预前FEV_(1)、FEV_(1)/FVC水平比较,差异无统计学意义(P>0.05)。干预后,2组FEV_(1)、FEV_(1)/FVC水平比较,差异有统计学意义(P<0.05)。2组干预前6MWT水平比较,差异无统计学意义(P>0.05)。干预后,2组6MWT水平比较,差异有统计学意义(P<0.05)。观察组术后住院时间、术后首次下床活动时间、胸腔引流管实际留置时间短于对照组,差异有统计学意义(P<0.05)。2组并发症发生率比较,差异有统计学意义(P<0.05)。结论 基于加速康复外科理念的肺癌围术期肺康复训练方案具有安全性、可行性,能降低术后并发症发生率,促进肺癌患者术后快速康复。
Objective To explore the application effect of perioperative lung rehabilitation training program for lung cancer based on the concept of accelerated rehabilitation surgery.Methods A total of 90 patients who underwent lung surgery in our hospital from January to June 2023 were selected and randomly divided into a control group and an observation group,with 45 cases in each group.The control group adopted the conventional perioperative nursing plan,while the observation group was combined with the perioperative pulmonary rehabilitation training plan for lung cancer on the basis of the control group.The pulmonary functions[including forced expiratory volume in one second(FEV_(1)),the ratio of FEV_(1) to forced vital capacity(FVC)(FEV_(1)/FVC)],6-minute walk test(6MWT),postoperative hospital stay,the time of first out-of-bed activity after surgery,the actual indwelling time of thoracic drainage tubes and the occurrence of pulmonary complications were compared between the two groups.Results The comparison of FEV_(1) and FEV_(1)/FVC levels between the two groups before intervention showed no statistically significant difference(P>0.05).After the intervention,the comparison of FEV_(1) and FEV_(1)/FVC levels between the two groups showed statistically significant differences(P<0.05).There was no statistically significant difference in the 6MWT level between the two groups before the intervention(P>0.05).After the intervention,there was a statistically significant difference in the 6MWT levels between the two groups(P<0.05).The postoperative hospital stay,the time of first getting out of bed after surgery,and the actual indwelling time of the thoracic drainage tube in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).There was a statistically significant difference in the incidence of complications between the two groups(P<0.05).Conclusion The perioperative pulmonary rehabilitation training program for lung cancer based on the concept of enhanced recovery after surgery is safe and feasible.It can reduce the incidence of postoperative complications and promote the rapid postoperative recovery of lung cancer patients.
作者
李文
夏萍
LI Wen;XIA Ping(Department of Pulmonary Surgery,Drum Tower Hospital Affiliated to Medical College of Nanjing University,Nanjing,Jiangsu 210008,China)
出处
《现代医药卫生》
2025年第12期2765-2769,共5页
Journal of Modern Medicine & Health
关键词
肺癌
肺康复
预康复
加速康复外科理念
肺功能
围手术期护理
Lung cancer
Pulmonary rehabilitation
Pre rehabilitation
Accelerated rehabilitation surgery concept
Pulmonary function
Perioperative nursing
