肺综合康复训练对肺癌放疗患者肺功能和症状的影响

目的 探究肺综合康复训练对肺癌放疗患者肺功能、癌因性疲乏及症状、生活质量的影响.方法 连续纳入2018年6月-2019年6月于宁波市医疗中心李惠利医院行放疗的肺癌患者87例,利用随机数字表法分为观察组(44例)和对照组(43例),对照组采用常规放疗管理和院外管理,观察组在对照组基础上进行肺综合康复训练,持续24周,比较...

Effect of comprehensive lung rehabilitation training on lung function and syndrome in patients with lung cancer undergoing radiotherapy

Objective To explore the effect of comprehensive lung rehabilitation training on lung function,cancer-related fatigue,symptoms and quality of life in patients with lung cancer undergoing radiotherapy.Methods Eighty-seven lung cancer patients who received radiotherapy in Li Huili Hospital of Ningbo Medical Center from June 2018 to June 2019 were included in this study.They were divided into the observation group(44 cases)and control group(43 cases).The control group used conventional radiotherapy management and out-of-hospital management.The observation group used combined comprehensive lung rehabilitation training on the basis of the control group for 24 weeks.Lung function,cancer-related fatigue(PFS-R),MSAS and EORTCQLQ-C30 were compared before and after the intervention.Results After intervention,the predictive values of preFEV1%,preFVC%and preMVV%were(90.37±2.18)%,(93.65±2.20)%and(87.67±2.59)%,respectively,whereas those of the control group were(87.33±2.38)%,(88.36±2.27)%and(83.47±2.19)%,respectively,and the difference was statistically significant(P<0.05).The PFS-R score of the observation group(4.58±0.60)was lower than that of the control group(5.17±0.65,t=4.401,P<0.05).The score of cough syndrome in the observation group was 1.02±0.18,which was lower than that in the control group(1.78±0.23,t=17.186,P<0.05).No significant difference in the score of appetite decline was found between the two groups(t=0.491,P>0.05).After intervention,the scores of physical dimension,emotional dimension and social dimension in the observation group were higher than those in the control group(all P<0.05),and no significant difference in role dimension and cognitive dimension was found between the two groups(all P>0.05).Conclusion Comprehensive lung rehabilitation training can improve lung ventilation function and quality of life relieve cancer-related fatigue and cough symptoms,and improve quality of life.