术前上肢功能锻炼联合呼吸功能训练对胸外科手术患者肩关节活动度及肺功能的影响

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Abstract Objective To explore the effect of preoperative upper limb function exercise combined with respiratory function training on the range of motion of the shoulder joint and lung function in patients undergoing thoracic surgery. Methods A total of 96 thoracic surgery patients admitted to Nantong Hospital of Traditional Chinese Medicine in Jiangsu Province from January 2017 to December 2018 were selected and divided into intervention group of 50 cases and control group of 46 cases according to the random number table method. Patients in both groups were given postoperative upper limb functional exercises and respiratory function training, while the intervention group combined preoperative upper limb functional exercises and respiratory function training. The indexes of shoulder joint range of motion, lung function and quality of life were compared between the two groups when they were discharged from the hospital. Results At discharge, the angles of lift, extension, and external rotation of the two groups were significantly smaller than before the intervention, and the maximum angles of lift, extension, and external rotation of the patients in the intervention group were significantly more than those of the control group, and the differences were statistically significant (P ＜ 0.05 or P ＜ 0.01). The forced vital capacity (FVC), forced expiratory volume in first second (FEV1), and maximal voluntary ventilation (MVV) of the two groups were significantly lower than those at admission, while the FVC, FEV1, and MVV of the intervention group were significantly higher than those of the control group, and the differences were statistically significant (P ＜ 0.05 or P ＜ 0.01). The symptoms, activity limitation, and the impact on quality of life score of intervention group were significantly lower than those of the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion Preoperative upper limb function exercise combined with respiratory function training can help to promote the recovery of upper limb function and lung function of thoracic surgery patients, and improve the quality of life of patients.

Key words： Thoracic surgery Preoperative rehabilitation training Upper limb function Lung function

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WANG Fen DAI Xiujuan. Effect of preoperative upper limb functional exercise combined with respiratory function training on the range of motion of the shoulder joint and lung function in patients undergoing thoracic surgery[J]. 中国医药导报, 2021, 18(13): 172-175.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I13/172

[1] 郑晓燕，危丽虹，吴芮，等.呼吸肌锻炼对心胸腹部手术患者康复结局影响的Meta分析[J].中国实用护理杂志，2017，33（21）：1663-1669.
[2] Fugazzaro S，Costi S，Mainini C，et al. PUREAIR protocol： randomized controlled trial of intensive pulmonary rehabilitation versus standard care in patients undergoing surgical resection for lung cancer [J]. BMC Cancer，2017，17（1）：508.
[3] 王文丽.呼吸功能锻炼对电视胸腔镜手术患者术后恢复情况及肺功能的影响[J].实用医技杂志，2018，25（3）：301-303.
[4] 吴艳，王秀娟，康晓艳，等.术前康复训练对胸腔镜治疗早期非小细胞肺癌患者心肺功能的影响[J].临床肺科杂志，2018，23（7）：1217-1221.
[5] Sebio Garcia R，Yanez-Brage MI，Gimenez Moolhuyzen E，et al. Preoperative exercise training prevents functional decline after lung resection surgery： a randomized，single-blind controlled trial [J]. Clin Rehabil，2017，31（8）：1057-1067.
[6] Rhazi K，Nejjari C，Benjelloun MC，et al. Validation of the St. George’s respiratory questionnaire in patients with COPD or asthma in morocco [J]. Int J Tuberc Lung Dis，2006，10（11）：1273-1277.
[7] 王璐，张楷悦，修艳丽.综合呼吸功能护理对于胸外科手术患者术后肺功能恢复的作用分析[J].中医临床研究，2018，10（26）：27-28.
[8] Karenovics W，Licker M，Ellenberger C，et al. Short-term preoperative exercise therapy does not improve long-term outcome after lung cancer surgery：a randomized controlled study [J]. Eur J Cardiothorac Surg，2017，52（1）：47-54.
[9] 袁媛.整合式健康教育对心胸外科手术患者自我管理效能及呼吸功能锻炼依从性的影响[J].江苏预防医学，2018，29（4）：466-468.
[10] 谭雅琼，易霞，黎吉娜，等.动画宣教对肺部肿瘤围术期患者呼吸功能锻炼依从性及自我管理效能的影响[J].中国医药导报，2018，15（34）：169-172，176.
[11] Pfirrmann D，Tug S，Brosteanu O，et al. Internet-based perioperative exercise program in patients with Barrett’s carcinoma scheduled for esophagectomy [iPEP-study] a prospective randomized-controlled trial [J]. BMC Cancer，2017，17（1）：413.
[12] 朱丽丽.肺功能锻炼健康教育路径在肺癌手术患者中的应用[J].安徽卫生职业技术学院学报，2018，17（4）：61-62.
[13] 罗珠嘉，陈玉红，陈娟，等.早期联合功能锻炼对冠状动脉搭桥术取血管桥下肢肢体功能康复的影响[J].中国实用护理杂志，2018，34（7）：508-513.
[14] 冯微.康复锻炼对乳腺癌术后患肢运动功能恢复的影响[J].安徽医药，2018，18（10）：653-655.
[15] 吴园芬，程雪.早期功能锻炼对乳腺癌改良根治术后患者治疗依从性及肩关节功能的影响[J].中国现代医生，2018，56（16）：70-72，76.
[16] 都菁，马玉芬，蔡梦歆，等.术前功能锻炼对胸部手术患者肩部疼痛和肩关节功能的影响[J].护理学杂志，2016， 31（22）：75-77.
[17] 沈铖姬，冯志仙.思维导图在开胸手术后患者呼吸功能锻炼中的应用[J].护理与康复，2020，19（4）：72-75.
[18] 闫雪梅，韩艳，马丽娟，等.胸腹腔镜联合食管癌根治术后患者症状困扰与生活质量的相关性研究[J].中国医药导报，2018，15（5）：151-155.
[19] 张诗越.个性化护理对胸外科手术后患者疼痛评分、生活质量及情绪状态的影响[J].中国基层医药，2018，25（21）：2850-2852.
[20] 赵晓丹，陈建敏，沈怡，等.积极心理干预对改善胸外科手术患者心理状态及生活质量的影响[J].中华现代护理杂志，2018，24（16）：1915-1918.
[21] 廖小勇，葛明建.胸外科术后镇痛研究进展[J].医学综述，2018，24（3）：581-585.
[22] 刘娜.医护一体化呼吸功能锻炼在促进胸外科患者术后肺功能康复中的应用效果[J].国际护理学杂志，2018， 37（3）：349-351.
[23] 吕霞.功能锻炼结合护理指导对腹腔镜手术患者术后生命质量及肺功能的影响[J].医疗装备，2018，31（10）：152-153.
[24] 徐伟，蒋国军，史国振.术前呼吸功能锻炼对胸心外科手术患者肺功能的影响[J].大医生，2018，3（9）：87-88.
[25] 蒋雅娟，王月，刘江.呼吸肌评估和训练对胸外科手术患者术后呼吸功能的影响[J].实用临床医药杂志，2016， 20（12）：70-72.