[1]汪海燕,周敏,汤琪琳,等.缩唇呼吸训练联合拍背咳痰法对胸腔镜肺癌根治术后患者肺功能康复和术后并发症的影响[J].西部中医药,2022,35(08):143-146.[doi:10.12174/j.issn.2096-9600.2022.08.35]
　WANG Haiyan,ZHOU Min,TANG Qilin,et al.Effects of Lip Contraction Breathing Training in Combination with Beating Expectoration on the Recovery of Pulmonary Function and Postoperative Complications in Patient after Thoracoscopic Radical Resection of Lung Cancer[J].Western Journal of Traditional Chinese Medicine,2022,35(08):143-146.[doi:10.12174/j.issn.2096-9600.2022.08.35]
点击复制

缩唇呼吸训练联合拍背咳痰法对胸腔镜肺癌根治术后患者肺功能康复和术后并发症的影响
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
35
期数:
2022年08期
页码:
143-146
栏目:
出版日期:
2022-08-15

文章信息/Info

Title:
Effects of Lip Contraction Breathing Training in Combination with Beating Expectoration on the Recovery of Pulmonary Function and Postoperative Complications in Patient after Thoracoscopic Radical Resection of Lung Cancer
作者:
汪海燕, 周敏, 汤琪琳, 周德存
安徽省第二人民医院，安徽 合肥 230042
Author(s):
WANG Haiyan, ZHOU Min, TANG Qilin, ZHOU Decun
Anhui No.2 Provincial People's Hospital, Hefei 230042, China
关键词:
肺癌; 肺功能康复; 胸腔镜肺癌根治术; 缩唇呼吸训练; 拍背咳痰法
Keywords:
lung cancer; the recovery of pulmonary function; thoracoscopic radical resection of lung cancer; lip contraction breathing training; beating expectoration
分类号:
R473.6
DOI:
10.12174/j.issn.2096-9600.2022.08.35
摘要:
目的探讨缩唇呼吸训练联合拍背咳痰法对胸腔镜肺癌根治术后患者肺功能康复和术后并发症的影响。 方法选取行胸腔镜肺癌根治术的70例患者，采用随机数字表简单随机分组法分为观察组34例和对照组36例。对照组给予常规护理干预，观察组进行缩唇呼吸训练联合拍背咳痰法护理干预，两组共干预5天。观察两组护理前后肺功能测评［第1秒用力呼气的容积（forced expiratory volume in 1 second，FEV1）/用力肺活量（forced vital capacity，FVC）、第1秒用力呼气量占预计值百分比（forced expiratory volume in the first second as percentage of predicted value，FEV1/pred）、血氧饱和度］变化、平均每日排痰量、肺部呼吸疾病症状评分［慢性阻塞性肺疾病评估量表（chronic obstructive pulmonary disease assessment test，CAT）、改良英国医学研究会呼吸困难指数量表（modified medical research council dyspnea index，mMRC）］、两组患者护理后并发症发生情况。 结果护理后，两组FEV1/FVC值、FEV1/pred值组间比较差异无统计学意义（P＞0.05）。护理后，两组血氧饱和度均显著上升（P＜0.05），且观察组血氧饱和度显著高于对照组（P＜0.05）。护理3、5天后，观察组平均每日排痰量显著高于对照组（P<0.05）。护理后，两组CAT评分、mMRC评分显著下降（P＜0.05），且护理后观察组显著低于对照组（P＜0.05）。 结论缩唇呼吸训练联合拍背咳痰法可改善胸腔镜肺癌根治术后患者肺功能、血氧饱和度，提升排痰量。
Abstract:
ObjectiveTo discuss the effects of lip contraction breathing training and beating expectoration on the recovery of pulmonary function and postoperative complications in patients after thoracoscopic radical resection of lung cancer. MethodsSeventy patients who have undergone thoracoscopic radical resection of lung cancer were selected, and divided into the observation group (34 cases) and the control group (36 cases) by using random number table method. The control group accepted conventional nursing intervention, and the observation group lip contraction breathing training and beating expectoration, both groups were intervened for five days. To observe lung function assessment [FEV1/FVC, FEV1/pred and oxygen saturation], average daily sputum output, symptom scores of respiratory disease [CAT scores, mMRC scores] before and after nursing in both groups,, and the incidence of the complications after nursing between both groups. ResultsAfter nursing, the difference had no statistical meaning in FEV1/FVC, FEV1/pred between both groups (P>0.05). After nursing, oxygen saturation was increased in the two groups notably (P<0.05), and oxygen saturation of the observation group was higher than that of the control group after nursing remarkably (P<0.05). After nursing for three and five days, average daily sputum output of the observation group was higher than that of the control group after nursing notably (P<0.05). After nursing, CAT scores and mMRC scores of both groups were decreased significantly (P<0.05), and after nursing, the observation group was lower than the control group significantly (P<0.05). ConclusionLip contraction breathing training and beating expectoration could improve pulmonary function and oxygen saturation, and raise sputum output in patients after thoracoscopic radical resection of lung cancer.

相似文献/References:

[1]毛慧慧.温馨提示卡在肺癌患者健康教育中的应用及评价[J].西部中医药,2012,25(09):98.
　MAO Hui-hui.Evaluation and Application of Cue Card to Health Education of Lung Cancer[J].Western Journal of Traditional Chinese Medicine,2012,25(08):98.
[2]张芳,孟宪明.培土生金法对气虚痰湿型肺癌化疗减毒增效的临床研究[J].西部中医药,2014,27(10):94.
[3]丁明明,吴勉华△.中药对肺癌细胞凋亡诱导基因表达的影响[J].西部中医药,2015,28(05):142.
[4]贡惠娟,赵玉娥,严春亚,等.循证护理对中晚期肺癌患者睡眠质量和自我护理能力的影响[J].西部中医药,2015,28(12):121.
[5]孟立峰,王军仓,王磊,等.麦味地黄丸防治肺癌放疗致放射性肺炎40例临床观察[J].西部中医药,2012,25(07):4.
　MENG Li-feng,WANG Jun-cang,WANG Lei,et al.Observation on MaiWei DiHuangWan in Preventing and Treating 40 Cases of Radiation Pneumonia Induced by Radiotherapy of Lung Cancer[J].Western Journal of Traditional Chinese Medicine,2012,25(08):4.
[6]常云丽.心理护理干预对肺癌患者焦虑、抑郁等负性情绪的影响[J].西部中医药,2012,25(07):117.
　CHANG Yun-li.Influence of Psychological Nursing Intervention on Life Quality of Patients with Lung Cancer[J].Western Journal of Traditional Chinese Medicine,2012,25(08):117.
[7]李静.穴位注射胃复安联合按压翳风穴对肺癌放化疗所致顽固性呃逆效果观察[J].西部中医药,2016,29(03):111.
　LI jing.Observation on Curative Effects of Acupoint Injection of Metoclopramide and Pressing YiFeng in Treating Intractable Hiccup induced by Radiotherapy and Chemotherapy Given to Lung Cancer Patients[J].Western Journal of Traditional Chinese Medicine,2016,29(08):111.
[8]倪军,顾惠英,冯高华.扶正抗瘤方对肺癌化疗患者细胞免疫功能及生活质量的影响[J].西部中医药,2014,27(12):6.
[9]徐玉娥,肖正国,宋薇,等.扶正升白口服液联合NP方案治疗晚期非小细胞肺癌的临床研究[J].西部中医药,2016,29(02):1.
　XU Yue,XIAO Zhengguo,SONG Wei,et al.Clinical Study on FuZheng ShengBai Oral Liquid Combined with NP Regimen in Treating Non Small-cell Lung Cancer at Advanced Stage[J].Western Journal of Traditional Chinese Medicine,2016,29(08):1.
[10]李志静,曹岚.认知行为护理干预对青年肺癌患者心理状况及生存质量的影响[J].西部中医药,2016,29(03):117.
　LI Zhijing,CAO Lan.Impact of Cognitive Behavior Therapy on Psychological State and Quality of Life of Young Patients with Lung Cancer[J].Western Journal of Traditional Chinese Medicine,2016,29(08):117.

备注/Memo

备注/Memo:
汪海燕（1982—），女，主管护师。研究方向：肺癌、食管癌的围手术期护理。安徽高校自然科学研究项目（KJ2020A0864）。
更新日期/Last Update: 2022-08-15