CAJ | 학술논문

目的探讨呼吸助力器训练联合特步他林及盐酸氨溴索雾化吸入对肺癌患者术后肺功能的影响.方法共选取2009年1月至2011年2月间在我院胸外科接受手术治疗的肺癌患者84例,将其随机分成治疗组及对照组.治疗组围手术期间给予呼吸助力器训练及特步他林和盐酸氨溴索雾化吸入治疗,对照组围手术期间仅给予特步他林和盐酸氨溴索雾化吸入治疗.分别于手术前2周、手术前l天及手术后2周时对2组患者肺功能、术后肺部并发症发生情况进行评定；于术后1个月时采用圣·乔治呼吸问卷(SGRQ)对2组患者生活质量改善(QOL)情况进行评估.结果手术前2周时2组患者肺功能各项指标组间差异均无统计学意义(P＞0.05)；分别经2周术前治疗后,发现2组患者肺功能均有一定程度改善(P＜0.05),且此时两组间差异仍无统计学意义(P＞0.05).手术后2周时2组患者肺功能均较手术前明显下降(P＜0.05),但以治疗组的下降幅度小于对照组(P＜0.05),并且治疗组肺部并发症发生情况也明显优于对照组(P＜0.05)；术后1个月时发现治疗组患者生活质量显著高于对照组(P＜0.05).结论于围手术期间联合采用呼吸助力器训练及雾化(特步他林和盐酸氨溴索)吸入治疗可明显改善肺癌患者术后肺功能,减少呼吸系统并发症发生,提高生活质量,对促进患者早日康复具有重要意义.
목적 탐토호흡조력기훈련연합특보타림급염산안추색무화흡입대폐암환자술후폐공능적영향.방법 공선취2009년1월지2011년2월간재아원흉외과접수수술치료적폐암환자84례,장기수궤분성치료조급대조조.치료조위수술기간급여호흡조력기훈련급특보타림화염산안추색무화흡입치료,대조조위수술기간부급여특보타림화염산안추색무화흡입치료.분별우수술전2주、수술전l천급수술후2주시대2조환자폐공능、술후폐부병발증발생정황진행평정；우술후1개월시채용골·교치호흡문권(SGRQ)대2조환자생활질량개선(QOL)정황진행평고.결과 수술전2주시2조환자폐공능각항지표조간차이균무통계학의의(P＞0.05)；분별경2주술전치료후,발현2조환자폐공능균유일정정도개선(P＜0.05),차차시량조간차이잉무통계학의의(P＞0.05).수술후2주시2조환자폐공능균교수술전명현하강(P＜0.05),단이치료조적하강폭도소우대조조(P＜0.05),병차치료조폐부병발증발생정황야명현우우대조조(P＜0.05)；술후1개월시발현치료조환자생활질량현저고우대조조(P＜0.05).결론 우위수술기간연합채용호흡조력기훈련급무화(특보타림화염산안추색)흡입치료가명현개선폐암환자술후폐공능,감소호흡계통병발증발생,제고생활질량,대촉진환자조일강복구유중요의의.
Objective To study the effects of.breathing booster training and aerosol inhalation with terbutaline and ambroxol on pulmonary function in postoperative lung cancer patients. Methods A total of 84 patients requiring resection operations for lung cancer were randomly divided into treatment and control groups.In the peri-operative period,breathing booster training and terbutaline and ambroxol aerosol inhalation were given to the treatment group,while only aerosol inhalation was given to the control group.Therapeutic effects were evaluated according to patients pulmonary function and postoperative complications 2 weeks and 1 day before the operation,and again 2 weeks after the operation.Postoperative quality of life (QOL) was evaluated with St.George's respiratory questionnaire (SGRQ) 1 month after the operation. Results There was no statistically significant difference in average pulmonary function between the two groups 2 weeks before the operation.Two weeks after the operation,pulmonary function had decreased in both groups,but it was significantly better in the treatment group than in the control group.The treatment group also had significantly fewer pulmonary complications.The QOL of patients in the treatment group had improved significantly 1 month after the operation. Conclusion Breathing booster training and inhalation of terbutaline and ambroxol aerosol during the peri-operative period can significantly improve pulmonary function,reduce respiratory complications and improve the QOL of patients requiring lung cancer resection operations.This is most important for promoting their early recovery.