目的 探讨快速康复外科理念对老年肺癌手术患者的疗效指标及肺功能的影响.方法 收集2014年3月～2016年3月本院的240例老年肺癌患者,按抽签法分为实验组和对照组,每组各120例.对照组采用常规护理干预,实验组采用快速康复外科理念干预.对比2组拔管时间、排气时间、抗生素使用时间、下床活动时间、住院时间,肺功能指标,健康调查简表(the MOS item short from health survey SF-36)、视觉模拟评分法(Visual Analogue Scale/Score VAS)评分,不良反应发生率.结果 实验组拔管时间、排气时间、抗生素使用时间、下床活动时间、住院时间均显著低于对照组,差异具有统计学意义(P<0.05);一秒钟用力呼气量(forced expiratory volume in one second FEV1)、用力肺活量(forced vital capacity,FVC)、第一秒用力呼气容积占用力肺活量百分比(forced expiratory volume in one second FEV1/FVC)水平显著高于对照组,差异具有统计学意义(P<0.05);心理质量、角色质量、生理质量、社会质量评分均显著高于对照组,差异具有统计学意义(P<0.05),VAS评分均显著低于对照组,差异具有统计学意义(P<0.05);不良反应总发生率显著低于对照组,差异具有统计学意义(P<0.05).结论 快速康复外科理念对老年肺癌手术患者的疗效显著,能够改善患者的肺功能,降低并发症发生率,减少住院时间,利于患者预后.
Effect of rapid rehabilitation surgery on the curative effect and pulmonary function of elderly patients with lung cancer
Objective To study effect of rapid rehabilitation surgery on the curative effect and pulmonary function of elderly patients with lung cancer. Methods 240 patients of lung cancer who received therapy from March 2014 to March 2016 in Ningbo Yinzhou People's Hospital were selected as research objects. According to the draw method divided into control group and experimental group, 120 cases ineach group. The control group was treated with routine nursing intervention, while the experimental group was treated with concept intervention of rapid rehabilitation surgery. Then extubation time, exhaust time, antibiotic use time, ambulation time, hospitalization time, lung function index, the MOS item short from health survey (SF-36) and Visual Analogue Scale/Score(VAS ) , adverse reactions rate of two groups were compared. Results The extubation time, exhaust time, antibiotic use time, ambulation time and hospital stay in the experimental group were significantly lower than those in the control group, the difference was statistical y significant (P<0.05); The levels of forced expiratory volume in one second (FEV1), forced vital capacity(FVC), forced expiratory volume in one second(FEV1/ FVC)were significantly higher than those of the control group, the difference was statistical y significant (P<0.05),Psychological quality, role quality, physiological quality and social quality score were significantly higher than those of the control group, the difference was statistical y significant (P<0.05), VAS scores were significantly lower than those in the control group, the difference was statistical y significant (P<0.05). The total incidence of adverse reactions was significantly lower than that of the control group, the difference was statistically significant (P<0.05). Conclusion The concept of rapid rehabilitation surgery has significant curative effect on elderly patients with lung cancer surgery, can improve the pulmonary function, reduce the incidence of complications, reduce the length of stay and benefit the prognosis of patients.
NETL
NSTL
万方数据
维普
