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目的探讨肺部康复训练对肺癌患者术后肺功能和生活质量的影响。方法将2014年10月—2015年9月来该院肺科住院的肺癌手术后继续接受化疗的患者110例纳入试验,随机分为对照组55例和观察组55例。对照组患者手术化疗后给予常规护理,观察组在常规护理的基础上给予肺康复训练。结果二组患者在肺康复训练12周考察后,观察组除社会功能外,与生活质量相关的躯体功能,认知功能,角色功能,情绪功能以及生活质量的评分显著优于对照组(P<0.05);观察组机体不良症状评分较对照组低,差异有统计学意义(P<0.05)。肺康复训练2个月后二组患者用力肺活量(FVC)、第1s用力呼气量(FEV1)、最大通气量(MVV)、FEV1/MVV差异显著,观察组康复训练评分高于对照组,差异有统计学意义(P<0.05)。结论本研究考察的肺康复训练能够有效减少患者化疗后并发症发生率、增强肺功能,提高患者的生活质量,对肺癌患者康复具有积极临床意义,提高治疗效率。
Objective To investigate the effect of pulmonary rehabilitation training on pulmonary function and quality of life in patients with lung cancer. Methods From October 2014 to September 2015, 110 patients who received chemotherapy after lung cancer hospitalized for lung surgery in our hospital from January 2014 to September 2015 were randomly divided into control group (55 cases) and observation group (55 cases). Patients in the control group were given routine care after surgery and chemotherapy. The observation group received pulmonary rehabilitation training on the basis of routine nursing. Results After 12 weeks of lung rehabilitation training, the scores of physical function, cognitive function, role function, emotional function and quality of life of the observation group were significantly better than those of the control group (P < 0.05). The scores of adverse symptoms in the observation group were lower than those in the control group (P <0.05). After 2 months of rehabilitation training, forced vital capacity (FVC), FEV1, MVV and FEV1 / MVV were significantly different in the two groups. The scores of rehabilitation training in the observation group were higher than those in the control group There was statistical significance (P <0.05). Conclusion The pulmonary rehabilitation training investigated in this study can effectively reduce the incidence of postoperative chemotherapy complications, enhance pulmonary function and improve the quality of life of patients with positive clinical significance for the rehabilitation of lung cancer patients and improve the treatment efficiency.