可手术切除的肝门部胆管癌患者的肺康复干预效果

Effect of pulmonary rehabilitation intervention in patients with resectable hilar cholangiocarcinoma

  • 摘要:
    目的 探讨肺康复干预在可手术切除的肝门部胆管癌患者中的效果。
    方法 将100例可手术切除的肝门部胆管癌患者随机分为对照组和干预组,每组50例。对照组采用常规加速康复外科(ERAS)护理措施,干预组在对照组基础上实施肺康复干预措施。比较2组患者干预效果。
    结果 干预组术后肺功能、6 min步行距离、改良呼吸困难指数(mMRC)评分、5次起坐试验时间与对照组比较,差异有统计学意义(P < 0.05);干预组患者术后肺部并发症发生率、术后住院时间、术后住院费用低于或短于对照组,差异有统计学意义(P < 0.05)。
    结论 对肝门部胆管癌手术患者行肺康复干预可有效改善肺功能,提高运动耐力,降低术后肺部并发症发生率,促进术后快速康复。

     

    Abstract:
    Objective To investigate the effect of pulmonary rehabilitation intervention in patients with resectable hilar cholangiocarcinoma.
    Methods A total of 100 patients with resectable hilar cholangiocarcinoma were randomly divided into intervention group and control group, with 50 cases in each group. The control group received routine nursing measures of enhanced recovery after surgery (ERAS), and the intervention group received pulmonary rehabilitation intervention on the basis of the control group. The intervention effect was compared between the two groups.
    Results There were significant differences in postoperative pulmonary function, 6-minute walking distance, modified British medical research council (mMRC) score and the duration of 5 times of sit-up test between the intervention group and the control group(P < 0.05); the incidence of postoperative pulmonary complications, postoperative hospital stay and postoperative hospitalization costs in the intervention group were significantly lower or shorter than those in the control group (P < 0.05).
    Conclusion Pulmonary rehabilitation intervention for patients with hilar cholangiocarcinoma surgery can effectively improve lung function, enhance exercise endurance, reduce the incidence of postoperative pulmonary complications, and promote rapid postoperative rehabilitation.

     

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