摘要
目的探讨肺癌手术患者围术期采用六字诀呼吸法和运动训练对肺功能和生存质量的影响.方法该次研究选取于该院接受手术治疗的肺癌患者100例,选取时间为2019年3月—2020年7月,根据入院顺序分组.围术期接受药物治疗并常规干预的50例患者为常规组,接受六字诀呼吸训练联合运动训练的50例患者为实验组.比较两组康复治疗的效果.结果康复治疗前,两组患者的肺功能指标、6 min步行实验、肺癌患者生存质量测定量表评分比较,差异无统计学意义(P>0.05);康复治疗后,实验组的第1秒用力呼气容积(2.46±0.49)L高于对照组(2.13±0.28)L,呼气峰值流速(3.29±0.67)L/s高于对照组(2.67±0.49)L/s,6MWT(384.29±82.19)m长于对照组(234.19±75.26)m,肺癌患者生存质量测定量表(109.36±5.28)分高于对照组(94.24±5.11)分,组间差异有统计学意义(P<0.05).在术后并发症(肺炎、肺部感染、肺不张、心律失常等)发生率上,实验组的8.00%显著低于常规组的28.00%,差异有统计学意义(P<0.05).结论围术期肺癌患者采用六字诀呼吸训练联合运动训练能够改善其肺功能,降低术后肺部并发症发生率,治疗效果确切,患者的生存质量明显提高,值得推广应用.
Objective To explore the effects of perioperative use of Liuzijue breathing method and exercise training on lung function and quality of life in patients with lung cancer surgery.Methods 100 lung cancer patients who underwent surgical treatment in the hospital were selected.The selection time was from March 2019 to July 2020,and they were grouped according to the order of admission.In the perioperative period,50 patients who received drug therapy combined conventional intervention were in the conventional group,and 50 patients who received Liuzijue breathing training combined exercise training were in the experimental group.The effects of rehabilitation treatment between the groups were compared.Results Before rehabilitation treatment,there were no statistically significant differences in lung function indexes,6-minute walk test(6MWT),and lung cancer patient quality of life measurement scale scores between the groups(P>0.05);after rehabilitation treatment,the forced expiratory volume in one second(2.46±0.49)L of the experimental group was higher than(2.13±0.28)L of the control group,and the peak expiratory flow(3.29±0.67)L/s of the experimental group was higher than(2.67±0.49)L/s of the control group,the 6MWT(384.29±82.19)m of the group was longer than(234.19±75.26)m of the control group,the score of fumctional assessment of cancer treatment-lung(109.36±5.28)points of the experimental group was higher than(94.24±5.11)points of the control group,and the differences between the groups were statistically significant(P<0.05).In terms of postoperative complications(pneumonia,lung infection,atelectasis,arrhythmia,etc.),the 8.00%of the experimental group was significantly lower than the 28.00%of the conventional group,and the difference was statistically significant(P<0.05).Conclusion The use of Liuzijue breathing training+exercise training in perioperative lung cancer patients can improve their lung function,reduce the incidence of postoperative pulmonary complications,have a definite therapeutic effect,and significantly improve the quality of life of patients,which is worthy of popularization and application.
作者
张小玉
邵龙辉
ZHANG Xiaoyu;SHAO Longhui(Department of Rehabilitation Medicine,People's Hospital of Zhongshan City,Guangdong Province,Zhongshan Guangdong,528400,China)
出处
《反射疗法与康复医学》
2020年第22期123-126,共4页
Reflexology And Rehabilitation Medicine
基金
中山卫生局自筹项目(2019A020161)。
关键词
肺癌
围术期
六字诀呼吸训练
运动训练
临床疗效
Lung cancer
Perioperative
Liuzijue breathing training
Exercise training
Clinical effect
