Altern Ther Health Med. 2020 Oct 31:AT6400. Online ahead of print.
PURPOSE: The primacy aim of our study was to identify the effect of lung rehabilitation therapy on improving respiratory motor ability and alleviating dyspnea in patients with lung cancer after lobectomy.
METHODS: The prospective study included a total of 58 patients with lung cancer who underwent lobectomy in our hospital from February 2017 to 2018. The patients were randomly divided into observation group (n = 29) and control group (n = 29). Patients in the control group were treated with routine nursing after operation, and patients in the observation group received lung rehabilitation therapy in combination with routine nursing. The pulmonary function, respiratory function and exercise ability of the patients in the two groups were compared, and fasting venous blood was taken before and after the beginning of the study. Moreover, the related serum factors were detected by enzyme-linked immunosorbent assay (Elisa).
RESULTS: After treatment, the percentage of FEV1 and FEV1/FVC in the predicted value in the observation group was significantly different compared to that before treatment. The CAT score and exercise endurance score in the observation group showed significant difference compared to those in the control group. Compared with patients in the control group, the average hospitalization time of patients in the observation group was reduced by 2 days, and the probability of pulmonary complications decreased from 13.8% to 3.4%, with an average decrease of 10.4%. Additionally, the patients with pulmonary complications were reduced by 3 cases, and the retention time of chest tube was also remarkably reduced. CRP, IL-6 and TNF-α in serum of the observation group were significantly improved, with statistical difference.
CONCLUSION: Lung rehabilitation therapy is an effective approach for the recovery of motor ability and respiratory function of postoperative patients. A simple lung rehabilitation exercise training program can significantly improve the exercise tolerance of respiration for patients, alleviate dyspnea, hence improve their quality of life. In addition, routine nursing in the combination of lung rehabilitation therapy exerted greater beneficial effect in terms of reducing the inflammation and
achieving improved life quality of patients.