中国临床医学2024，Vol.31Issue(5)：778-782,5.DOI:10.12025/j.issn.1008-6358.2024.20240381
不同切口手术联合加速康复外科理念指导下的呼吸功能训练在肺癌患者中的应用效果
Application effect of different incision surgeries combined with respiratory function exercise under the guidance of enhanced recovery after surgery concept in patients with lung cancer
摘要
Abstract
Objective To explore the efficacy of different incision surgeries combined with respiratory function exercise under the guidance of enhanced recovery after surgery(ERAS)in lung cancer patients.Methods From January 2020 to December 2022,a total of 200 patients in Taicang Affiliated Hospital of Soochow University were collected and randomly divided into 4 groups,with 50 patients in each group.Patients in group A received single-hole thoracoscopic surgery,preoperative ERAS concept education and respiratory trainer combined with routine respiratory function exercise;patients in group B received subaxillary non-invasive small incision surgery,preoperative ERAS concept education and respiratory trainer combined with routine respiratory function exercise;patients in group C received subaxillary non-invasive small incision surgery,preoperative routine hospitalization education and respiratory function exercise;patients in group D received single-hole thoracoscopic surgery,preoperative routine hospitalization education and respiratory function exercise.The postoperative recovery indicators and postoperative pain score were compared among the four groups.Results Compared with the other three groups,patients in group A had reduced incidence of pulmonary complications,earlier mobilization,earlier removal of the chest tube and shorter length of hospital stay(P＜0.05);compared with group B and group C,patients in group A had reduced postoperative pain score(P＜0.05).Compared with group C,patients in group B had reduced incidence of pulmonary complications,earlier mobilization,earlier removal of the chest tube and shorter length of hospital stay(P＜0.05).There was no significant difference in postoperative pain score between patients in group A and group D,and patients in group B and group C.Conclusions For lung cancer patients,single-hole thoracoscopic surgery combined with respiratory function exercise under the guidance of ERAS concept can effectively reduce the incidence of pulmonary complications and postoperative pain,and promote postoperative recovery.关键词
肺癌/加速康复外科/单孔胸腔镜/非损伤性小切口Key words
lung cancer/enhanced recovery after surgery/single-hole thoracoscopic surgery/non-invasive small incision surgery分类
医药卫生引用本文复制引用
张法旺,李森,于新辉,舒健..不同切口手术联合加速康复外科理念指导下的呼吸功能训练在肺癌患者中的应用效果[J].中国临床医学,2024,31(5):778-782,5.基金项目
苏州市医学应用基础研究计划(SKY2023031),苏州市卫生青年骨干人才项目(Qngg2022042),苏州市医疗卫生科技创新项目(SKJYD2021014),太仓市医疗卫生应用基础研究计划(TC2023JCYLD06).Supported by Suzhou Medical Application Basic Research Plan(SKY2023031),Suzhou Health Youth Backbone Talent Project(Qngg2022042),Suzhou Medical Health Science and Technology Innovation Project(SKJYD2021014),Taicang Medical and Health Application Basic Research Plan(TC2023JCYLD06). （SKY2023031）
