Analysis of the effectiveness of sensitive index system for lung rehabilita-tion in the perioperative period among patients with lung cancer
Objective This study was aimed at assessing the effects of a quality sensitive index for lung rehabilita-tion intervention application in the perioperative period among patients with lung cancer.Methods A total of 90 patients with lung cancer admitted to our hospital between September 2021 and September 2022 were studied.Patients were allocat-ed 1:1 to the control and study groups at random,with 45 patients each.The control group received routine treatment in the perioperative period,whereas the study group received routine treatment plus clinical perioperative lung rehabilitation,on the basis of sensitive indicators.Indexes of postoperative recovery were compared between groups.Results No statistically significant difference in general information was observed between groups(P＞0.05);However,statistically significant differ-ences were found in extubation time[(47.82±6.35)h vs(56.49±6.87)h],ventilator use time[(16.17±3.96)h vs(19.06±4.35)h],mobilization time[(58.92±7.28)h vs(67.93±8.26)h],intensive care unit length of stay[(45.21±5.47)h vs(49.16±5.93)h],length of hospital stay[(6.24±1.23)d vs(8.92±1.48)d],and daily sputum output[(47.36±5.18)mL vs(35.38±4.29)mL]between the study and control groups(t=6.217,3.296,5.490,3.284,9.342,11.949,P＜0.05).Statistically signifi-cant differences in FVC[(2.59±0.67)L vs(2.16±0.53)L],FEV1[(2.28±0.72)L vs(1.78±0.45)L],PEF[(5.94±1.36)L/s vs(5.19±1.23)L/s],MVV[(80.16±3.64)L/min vs(76.39±3.47)L/min],tidal volume[0.98±0.34)L/s vs(0.81±0.27)L/s],PaO2[(84.72±2.57)mmHg vs(82.16±1.83)mmHg].re-spiratory rate[(17.64±3.79)times/min vs(19.82±4.15)times/min],and PaCO2[(38.92±3.51)mmHg vs(40.47±3.62)mmHg]were observed between the study and control groups 7 days after surgery(t=3.377,3.950,2.744,5.029,2.627,8.002,2.602,2.582,P＜0.05).Statistically significant differ-ences in 6MWD[(408.54±14.89)m vs(356.84±27.23)m]and immediate post 6MWD Brog score[(2.13±0.56)vs(2.67±0.84)](t=1.175,3.588,P＜0.001)were observed between the study group and the control group 30 days after surgery.More-over,statistically significant differences were observed in the incidence of postoperative complications(6.7％vs 22.2％,x2=9.070,P=0.003)and the scores of various indicators of quality of life(P＜0.001)between the study group and the control group.Conclusion The scientific,targeted perioperative rehabilitation treatment process based on sensitive indicators ef-fectively improved the quality of treatment and patients'clinical symptoms,thereby promoting the rehabilitation.
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