Effects of respiratory training devices and active cycle of breathing techniques on postoperative lung function and quality of life in patients with early lung cancer
Objective To analyze the effects of early use of respiratory training devices and active cycle of breathing techniques (ACBT) on postoperative lung function and quality of life in patients with early lung cancer. Methods A total of 178 patients with thoracoscopic lobectomy or partial lobectomy admitted to the Department of Thoracic Surgery of Haining People's Hospital from January 2022 to November 2023 were selected as the study objects. According to whether respiratory training devices and ACBT were used,the objects were divided into the intervention group (90 cases) and the control group (88 cases). The forced expiratory volume in the first second (FEV1),forced vital capacity (FVC),FEV1/FVC,FEV1 percentage to the predicted normal value,6-minute walk test results,chronic obstructive pulmonary disease assessment test (CAT) score,and each dimension score of the MOS 36-Item Short Form Health Survey of the two groups of patients before treatment,and at the 4th,8th,and 12th weeks after the operation were compared. The maximum inspiratory pressure (PImax) and maximum expiratory pressure values before treatment,and at 3rd day,5th day,4th week,8th week,and 12th week after the operation were also compared. Results The FEV1,FVC,and FEV1 percentage to the predicted normal value in the intervention group were higher than those of the control group at the 4th,8th and 12th weeks after surgery,and the PImax value were higher than those of the control group at the 3rd day,4th and 8th weeks after surgery,the differences were statistically significant (all P<0.05). The physiological function,physical role and vitality in the intervention group were significantly higher than those of the control group at the 4th and 8th weeks after surgery (all P<0.05). There were no significant differences in 6-minute walk test and CAT scores between the two groups at the 4th,8th and 12th weeks after surgery (all P>0.05). Conclusion Early use of respiratory training devices and ACBT after surgery in patients with early lung cancer can effectively improve lung function,promote rehabilitation,and improve quality of life,which shows good application value.
Active cycle of breathing techniquesPostoperative lung cancerPulmonary rehabilitationQuality of life