肺部康复练习有效改善非小细胞肺癌手术后的慢性咳
Nanzhi Luo1,2, Fuqiang Dai3, Xintian Wang3
1Department of Thoracic Surgery and Institute of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, China.
概括
肺部康复显著减少术后咳,改善肺癌手术后的生活质量. 这些益处在6个月后持续存在,并与传统方法相比增强肺功能.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 瘤学康复康复 癌症康复
背景情况:
- 手术后咳是肺癌手术后的常见并发症,影响患者的生活质量.
- 目前治疗持续的术后咳的方法往往不够.
- 肺部康复正在被探索为这种情况的潜在干预措施.
研究的目的:
- 为了研究肺部康复计划在经过肺癌叶切除术后持续的术后咳的治疗效果.
- 为了比较肺部康复与传统康复方法的结果.
主要方法:
- 对276名非小细胞肺癌患者进行了回顾性审查,这些患者接受了视频辅助胸腔镜手术 (VATS).
- 患者被分为传统和肺部康复组.
- 评估包括莱斯特咳问卷 (LCQ) 和手术后3天和6个月的肺功能测试.
主要成果:
- 肺部康复组在3天 (16.0%对29.7%) 和6个月 (3.7%对12.8%) 的术后咳发病率较低.
- 在肺部康复组中,在两个时间点都观察到明显更高的LCQ分数 (体质,精神,社会和总分).
- 与传统组相比,在肺部康复组中观察到改善的肺功能参数 (FVC,FEV1,MVV,DLCO).
结论:
- 肺部康复炼有效地减少发病率,并改善肺癌叶切除术后与咳有关的生活质量.
- 肺部康复的好处持续在手术后6个月.
- 与传统的康复方法相比,肺部康复显示出更好的肺功能结果.
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