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目的探讨肺康复训练对肺癌患者术后临床效果及生活质量的影响。方法选取南京医科大学附属南京第一医院2010年5月至2014年5月收治的80例肺癌术后患者,采用随机数字表法分为观察组和对照组,每组40例。观察组患者采用肺康复训练干预,对照组采用常规护理干预,分析对比治疗前后肺癌患者临床效果及生活质量。结果观察组患者治疗后用力肺活量(FVC)、第1秒用力呼气溶积(FEV1)以及第1秒用力呼气溶积/用力肺活量(FEV1/FVC)肺功能指标数值均明显高于对照组,差异有统计学意义(P<0.01)。观察组患者治疗后躯体功能、社会功能、心理功能和物质生活均明显提高,与对照组比较,差异有统计学意义(P<0.01)。观察组患者治疗前后6 min步行实验差值为(47.78±6.78)m,对照组治疗前后差值为(8.00±3.89)m,两组比较,差异有统计学意义(P<0.01)。观察组患者治疗前后癌因性疲乏量表差值为(0.78±0.14),对照组治疗前后差值为(0.13±0.08),两组比较差异有统计学意义(P<0.01)。结论肺癌患者术后采用肺康复训练能够有效的改善病情,提高患者生活质量。
Objective To investigate the effect of pulmonary rehabilitation training on the clinical effect and quality of life of patients with lung cancer. Methods Eighty patients with postoperative lung cancer admitted to Nanjing First Hospital Affiliated to Nanjing Medical University from May 2010 to May 2014 were randomly divided into observation group and control group with 40 cases in each group. Patients in the observation group were treated with pulmonary rehabilitation training, while those in the control group were treated with routine nursing intervention. The clinical effects and quality of life of patients with lung cancer before and after treatment were analyzed. Results The FVC, FEV1 and FEV1 / FVC in the observation group were significantly higher than those in the control group , The difference was statistically significant (P <0.01). The body function, social function, mental function and physical life of patients in observation group were significantly improved after treatment. Compared with control group, the difference was statistically significant (P <0.01). The difference of walking test in observation group was (47.78 ± 6.78) m at 6 min before and after treatment, and (8.00 ± 3.89) m in control group before and after treatment. The difference between the two groups was statistically significant (P <0.01). The difference of cancer-related fatigue before and after treatment in the observation group was (0.78 ± 0.14) and in the control group (0.13 ± 0.08), the difference was statistically significant (P <0.01). Conclusion Lung rehabilitation patients after lung rehabilitation training can effectively improve the condition and improve the quality of life of patients.