影响患者运动耐受性的因素,这些患者接受了肺癌视频辅助胸腔镜手术
Yoshiteru Akezaki1, Makiko Hamada2, Ritsuko Tominaga3
1Division of Physical Therapy, Kochi Professional University of Rehabilitation, Kochi, JPN.
Cureus
|July 15, 2025
概括
肺癌的视频辅助胸腔镜手术 (VATS) 可以降低运动耐受性. 术前的体力活动和术后的肌肉力量是改善VATS后步行距离的关键因素.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部医学 肺部医学
- 在瘤学瘤学.
背景情况:
- 视频辅助胸腔镜手术 (VATS) 是针对早期肺癌的开放胸切除术的一种最小侵入性替代方案.
- 评估影响VATS后运动耐受性的因素对于患者的康复和生活质量至关重要.
研究的目的:
- 在接受VATS的肺癌患者中确定与运动耐受性相关的临床因素.
- 了解肌肉力量,体力活动和术后运动能力之间的关系.
主要方法:
- 研究了一组由73名患者组成的队列,这些患者接受了肺癌视频辅助肺叶切除术.
- 评估了临床参数,包括COPD,手术细节,骨肌指数,手握强度,体力活动和6分钟的步行距离.
- 使用逐步多重回归分析来确定术后运动耐受性的预测因素.
主要成果:
- 与手术前值相比,手术后的握力和6分钟的步行距离显著减少.
- 术后更高的手握强度,男性性别和更高的术前体力活动是术后6分钟步行距离的显著积极预测因素 (R2 = 0.348).
结论:
- 肺癌VATS后的术后运动耐受性受肌肉强度和体力活动水平的影响.
- 建议采取旨在加强手术前的体力活动和改善手术后的肌肉力量的干预措施,以提高运动耐受性.
相关概念视频
Factors Affecting Pulmonary Ventilation
1.6K
Besides the pressure difference between the external environment and the lungs, the airflow rate and ease of pulmonary ventilation are also influenced by three other factors: surface tension of the fluid in the alveoli, compliance of the lungs, and airway resistance.
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
1.6K
Pneumothorax-II
380
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
380
Factors Affecting Respiration
7.4K
Respiration is a crucial physiological function involving exchanging oxygen (O2) and carbon dioxide (CO2) between an organism and its environment. Various factors can impact this essential process:
7.4K
Endoscopic Studies II: Thoracocentesis
519
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
519
Cardiomyopathy VII: Pre and Post Operative Nursing Management
29
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
29
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
275
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
275


