摘要
目的研究全肺切除术后患者肺功能与生活质量的变化,探讨康复训练对全肺切除术后患者肺功能与生活质量的影响。方法全肺切除术患者60例随机分为康复组和对照组,每组30例,康复组采用常规治疗的同时进行系统的康复训练,对照组只采用常规治疗。连续观察1年,比较两组术前、术后3,6,12个月肺功能及生活质量的变化情况。结果术后3个月两组肺功能指标均较术前下降,生活质量无改善,两组比较差异无显著性意义(F=1.395～1.705,P>0.05);术后6个月,康复组肺功能指标已恢复至术前水平,对照组只达术前的80%,两组肺功能及生活质量比较,差异有显著性意义(F=3.901～4.415,P<0.05);术后12个月,两组肺功能已恢复至术前水平,康复组20%患者达正常水平,两组比较差异有显著性意义(F=3.958～4.171,P<0.05),两组生活质量均有明显提高,康复组显著优于对照组(F=11.354,P<0.01)。结论全肺切除术后患者肺功能与生活质量均可随着病情的稳定而改善,康复训练可以促进全肺切除术后患者肺功能重建及提高患者的生活质量。
AIM:To investigate the changes of pulmonary function and quality of life (QOL) of patients after pneumonectomy, and to discuss the effect of rehabiliation training on pulmonary function and QOL of patients after pneumonectomy.METHODS:Sixty patients with pneumonectomy were randomly divided into rehabilitation group and control group, with 30 in each group. Rehabilitation group was treated with routine treatments plus systematic rehabilitation training, while control group only used routine treatments. After 1 year follow up, the changes in pulmonary function and QOL of the two groups were compared at 3 months before operation, and 3, 6, 12 months after operation.RESULTS:Pulmonary function was declined 3 months after operation. QOL had no changed. There was no significant difference between the two groups(F=1.395-1.705,P >0.05).Pulmonary function of rehabilitation group was recovered to the normal level 6 months after operation, while only recovered to 80%of the normal level in the control group. Pulmonary function and QOL had significant difference between the two groups(F=3.901-4.415,P< 0.05).Twelve months after operation, pulmonary function of the two groups was recovered to the preoperative level,and 20%of the patients in the rehabilitation group recovered normal level. There were significant difference between the two groups(F=3.958-4.171,P< 0.05). QOL of the two groups was markedly enhanced,which was better in the rehabilitation group(F=11.354,P< 0.01).CONCLUSION:Improvement in pulmonary function and QOL of patients after pneumonectomy is directly related with stabilization of illness,which was beth better rehabilitation training can improve the reconstruction of pulmonary function and enhance the QOL of patients.
出处
《中国临床康复》
CSCD
2004年第23期4669-4671,共3页
Chinese Journal of Clinical Rehabilitation
基金
广东省医学科研基金课题(A1999458)~~
