经皮穴位电刺激辅助早期功能锻炼对肺癌术后患者凝血功能及生活质量的影响

目的观察经皮穴位电刺激(TEAS)辅助早期功能锻炼对肺癌术后患者凝血功能及生活质量的影响。方法选取119例肺癌胸腔镜下根治术患者,随机分为对照组60例和观察组59例。对照组术后采用常规围手术期护理配合早期功能锻炼的方法,观察组在对照组基础上增加经皮穴位电刺激治疗。观察两组治疗前后凝血功能(凝血全套、血小板计数)和生活质量的变化。结果两组治疗前后凝血酶时间(TT)、纤维蛋白原(FIB)、D-二聚体(D-D)值比较,差异有统计学意义(P<0.01);两组治疗后生活质量总分与同组治疗前比较,差异有统计学意义(P<0.05)。观察组治疗后FIB、D-D均显著低于对照组(P<0.01),生活质量总分和胸痛评分低于对照组(P<0.05)。结论TEAS辅助早期功能锻炼能改善肺癌术后患者血液高凝状态,降低并发血栓的风险,提高患者生活质量,促进早期康复。

Effect of Transcutaneous Electrical Acupoint Stimulation Based on Early-stage Functional Training on Coagulation Function and Quality of Life in Patients Undergoing Lung Cancer Operation

Objective To observe the effect of transcutaneous electrical acupoint stimulation(TEAS)based onearly-stage functional training on coagulation function and quality of life(QOL)in patients undergoing lung canceroperation.Method A total of 119 patients undergoing thoracoscopic lung cancer radical operation were randomizedinto a control group of 60 cases and an observation group of 59 cases.The control group was intervened byconventional peri-operative nursing care plus early-stage functional training after surgery,and the observation groupwas given TEAS in addition to the intervention for the control group.The coagulation function(blood coagulation testand blood platelet count)and QOL in the two groups were observed before and after treatment.Result The thrombintime(TT),fibrinogen(FIB)and D-dimer(D-D)changed significantly after treatment in both groups(P<0.01);the totalQOL score changed significantly after treatment in the two groups(P<0.05).After treatment,the FIB and D-D weresignificantly lower in the observation group than in the control group(P<0.01),and the total QOL score and chest painscore were lower in the observation group than in the control group(P<0.05).Conclusion TEAS can assistearly-stage functional training to improve the high coagulation state,reduce the risk of thrombosis,enhance the QOLand boost the early recovery of the patients after lung cancer operation.基金项目:广西壮族自治区卫生和计划生育委员会立项科研课题(Z20180620);广西医疗卫生适宜技术开发与推广应用项目(S2017097)