中国肿瘤临床与康复

目的探讨呼吸操锻炼对肺肿瘤术后患者肺功能的影响。方法选取2018年2月至2019年4月间在上海市静安区静安寺街道社区卫生服务中心进行康复的66例肺肿瘤患者作为研究对象。采用随机数表法随机分为对照组和观察组,每组33例。对照组患者接受常规深呼吸运动和有效咳嗽锻炼,观察组患者在对照组基础上接受呼吸操锻炼。结果观察组患者的肺活量、深吸气量、用力肺活量和最大通气量均高于对照组患者,差异均有统计学意义(均P <0. 05)。在接受锻炼前,两组患者的日常生活能力评分比较,差异无统计学意义(P> 0. 05)。在接受锻炼后,观察组患者的日常生活能力评分高于对照组患者,差异有统计学意义(P <0. 05)。在接受锻炼前,两组患者的焦虑和抑郁评分比较,差异无统计学意义(P>0. 05)。锻炼后,观察组患者的焦虑和抑郁评分均低于对照组患者,差异均有统计学意义(均P <0. 05)。在接受锻炼后,观察组患者的六分钟步行距离为(342. 28±32. 25) m,高于对照组患者的(256. 67±23. 92) m,差异有统计学意义(P <0. 05)。结论对接受手术治疗的肺肿瘤患者实施呼吸操锻炼,可以显著提升患者的肺功能和六分钟步行距离,减少患者的负面心理,提高其日常生活能力,值得推广应用。

Objective To analyze the effect of breathing exercise on postoperative lung function in patients with lung tumors. Methods Sixty-six patients with lung tumors who were received rehabilitation treatment at Jing'an Temple Street Community Health Service Center from February 2018 to April 2019 were selected as subjects. They were randomly divided into an observation group and a control group with 33 patients in each group. The observation group received breathing exercise besides regular deep breathing exercise and effective cough exercise and the control group only received regular deep breathing exercise and effective cough exercise. Results The vital capacity,inspiratory capacity( IC),forced vital capacity( FVC) and maximal breathing capacity( MBC) were higher in the observation group than in the control group( all P < 0. 05). Before the exercises,there was no significant difference in scores of activities of daily living between the two groups( P > 0. 05). After the exercises,scores of activities of daily living were higher in the observation group than in the control group( all P < 0. 05). Before the exercises,there was no significant difference in scores of anxiety and depression between the two groups( P > 0. 05). After the exercises,scores of anxiety and depression were lower in the observation group than in the control group( all P <0. 05). After the exercise,patient's six-minute walking distance was 342. 28 ± 32. 25 m in the observation group,which was significantly higher than 256. 67 ± 23. 92 m of the control group( all P < 0. 05). Conclusion Breathing exercise for patients with lung cancer undergoing surgery can significantly improve the patient's lung function and six-minute walking distance,reduce the negative emotions,and improve activities of daily living,which is worthy of being promoted and applied.