摘要
目的探讨康复运动联合抗阻训练用于肺结节术后患者的效果及对患者生活质量的影响。方法选取浙江省荣军医院2022年1月至2023年4月收治的胸腔镜肺结节切除术后患者90例进行随机对照研究,采用随机数字表法分为对照组、观察组各45例。对照组采用常规康复运动,观察组在对照组基础上联合抗阻训练。两组干预1周。比较两组术后并发症发生情况,干预前后肺功能、运动耐力和生活质量的变化。结果观察组术后并发症发生率为6.7%(3/45),低于对照组的24.4%(11/45)(χ^(2)=5.41,P=0.020)。干预后,观察组第1秒用力呼气容积、每分钟最大通气量、用力肺活量分别为(83.84±4.35)%、(96.53±3.45)L/min、(2.87±0.16)L,均高于对照组的(78.98±4.01)%、(92.13±3.08)L/min、(2.62±0.19)L(t=-5.51、-6.38、-6.75,均P<0.001);观察组改良呼吸困难指数(mMRC)评分为(0.42±0.13)分,低于对照组的(0.87±0.19)分(t=13.11,P<0.001);观察组改良Barthel指数评分为(89.53±3.67)分,高于对照组的(82.94±4.23)分(t=-7.89,P<0.001)。结论胸腔镜肺结节切除术后患者采用康复运动联合抗阻训练可提高患者肺功能、运动耐力和生活质量,并可降低术后并发症发生率。
Objective To investigate the effect of rehabilitation exercise combined with resistance training on the postoperative recovery and quality of life among patients with pulmonary nodules.Methods A randomized controlled study was conducted on 90 patients with pulmonary nodules who underwent thoracoscopic resection of pulmonary nodules at Zhejiang Veteran Hospital between January 2022 and April 2023.Patients were randomly allocated into an observation group and a control group,with 45 patients in each group using the random number table method.The control group underwent routine rehabilitation exercise,whereas the observation group received resistance training combined with routine rehabilitation exercise.All patients were treated for 1 week.The incidence of postoperative complications and the changes in lung function,exercise endurance,and quality of life from baseline levels were compared between the two groups.Results The incidence of postoperative complications in the observation group was significantly lower than that in the control group[6.7%(3/45)vs.24.4%(11/45),χ^(2)=5.41,P=0.020].After intervention,the forced expiratory volume in 1 second,maximal voluntary ventilation per minute,and forced vital capacity in the observation group were(83.84±4.35)%,(96.53±3.45)L/min,and(2.87±0.16)L,respectively,which were higher than those in the control group[(78.98±4.01)%,(92.13±3.08)L/min,(2.62±0.19)L,t=-5.51,-6.38,-6.75,all P<0.001].Additionally,the modified Medical Research Council dyspnea score in the observation group was(0.42±0.13)points,which was significantly lower than that in the control group[(0.87±0.19)points,t=13.11,P<0.001].The modified Barthel index score in the observation group was significantly higher than that in the control group[(89.53±3.67)points vs.(82.94±4.23)points,t=-7.89,P<0.001].Conclusion The combination of rehabilitation exercise and resistance training can effectively enhance lung function,exercise endurance,and overall quality of life in patients with pulmonary nodules.Furthermore,t
作者
陈雅萍
吕玲娜
沈琰蕾
沈嘉虹
朱晓娇
Chen Yaping;Lyu Lingna;Shen Yanlei;Shen Jiahong;Zhu Xiaojiao(Department of Rehabilitation,Zhejiang Veteran Hospital,Jiaxing 314000,Zhejiang Province,China)
出处
《中国基层医药》
CAS
2024年第4期549-552,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
结节病
肺
胸腔镜检查
手术后医护
康复
运动
抗阻训练
呼吸功能试验
生活质量
Sarcoidosis,pulmonary
Thoracoscopy
Postoperative care
Rehabilitation
Movement
Resistance training
Respiratory function tests
Quality of life
