Impact of quantitative active respiratory and circulatory technology on lung function and complications in postoperative patients with esophageal cancer
Objective To analyze the impact of quantitative active respiratory and circulatory technology based on incentive spirometer on lung function and pulmonary related complications in postoperative patients with esophageal cancer.Methods Patients who underwent esophageal cancer radical surgery in our hospital from April 2021 to October 2023 were selected.There were 58 cases in the conventional group and 59 cases in the quantitative active respiratory and circulatory technology group(quantitative ACBT group).The routine group received pursed-lip breathing training 3 times a day,while the quantitative ACBT group received quantitative training using an inducible spirometer.The inhalation volume was set according to age,gender,and height,and the ACBT cycle of respiratory control chest expansion forced exhalation was trained 3 times a day.Compare the percentage of forced vital capacity(FVC%),the percentage of forced vital capacity in the first second(FEV1%),and the percentage of maximum ventilation per minute(MVV%)between the two groups before surgery,3 days after surgery,and 7 days after surgery.Compare the sputum clearance effect and pain visual analogue scale(VAS)at 2,3,and 5 days after surgery,and compare the incidence of pulmonary complications.Results The quantitative ACBT group had higher FVC%,MVV%,and FEV1%at 3 and 7 days after surgery compared to the control group,with statistical significance(P<0.05).At postoperative 2 days,3 days,and 5 days,the excellent and good rates of sputum clearance in the quantified ACBT group were higher than those in the conventional group,and the difference between the groups was statistically significant,(P<0.05).The VAS score of the quantified ACBT group was slightly higher than that of the conventional group at 2,3,and 5 days after surgery,but there was no statistically significant difference between the groups(P>0.05).The incidence of pulmonary related complications in the quantitative ACBT group was 6.77%,lower than the 18.96%in the conventional group,with a statistically significant difference between the groups(P<0.05).Conclusion For patients undergoing minimally invasive radical esophagectomy for esophageal cancer,postoperative quantitative active respiratory and circulatory training based on inducible spirometry can help with sputum excretion,improve lung function,and reduce the incidence of chest complications.
Esophageal cancerLung functionComplicationActive respiratory and circulatory technologyQuantification
万方数据
维普
