呼吸锻炼专项护理在肺癌患者术前的应用效果(1)
[摘要]目的 探讨呼吸锻炼专项护理在肺癌患者术前的应用效果及对其术后肺功能、肺癌预后因子水平的影响。方法 选取2017年4月～2019年4月我院收治的80例肺癌患者，按照随机数字表法分为对照组(n=40)与研究组(n=40)。对照组采用常规护理干预，研究组在术前1～2周采用呼吸锻炼专项护理。比较两组术后1周的用力肺活量占预计值百分比(FVC%)、1秒用力呼气容积占预计值百分比(FEV1%)、血管内皮细胞生长因子受体2(VEGFR2)、血管内皮生长因子(VEGF)和并发症总发生率。结果 研究组术后FVC%和FEV1%均高于对照组，差异有统计学意义(P<0.05)，研究组术后的VEGFR2和VEGF水平均低于对照组，差异有统计学意义(P<0.05)，研究组术后的并发症总发生率(2.50%)低于对照组(15.00%)，差异有统计学意义(P<0.05)。结论 术前应用呼吸锻炼专项护理能有效改善肺癌患者术后的肺功能和肺癌预后因子水平，并减少术后并发症的发生。
[关键词]呼吸锻炼专项护理;肺癌;常规护理;并发症
[中图分类号] R473.73 [文献标识码] A [文章編号] 1674-4721(2020)5(c)-0240-03
Application effect of special breathing exercise nursing before operation on lung cancer patients
JIANG Lin
Department of Cardiovascular Surgery， Xiangya Hospital of Central South University， Hu′nan Province， Changsha 410008， China
[Abstract] Objective To explore the application effect of preoperative breathing nursing on lung cancer patients before surgery and its effect on postoperative lung function and prognostic factor levels of lung cancer. Methods A total of 80 patients with lung cancer treated in our hospital from April 2017 to April 2019 were selected and divided into the control group (n=40) and the study group (n=40) according to the random number table method. The control group was given routine nursing intervention. Respiratory training ass used 1-2 weeks before the operation in the study group. One week after operation， the forced vital capacity (FVC%)， forced expiratory volume in one second (FEV1%)， vascular endothelial cell growth factor receptor 2 (VEGFR2)， and vascular endothelial growth factor (VEGF) and total complications between two groups were compared. Results The FVC% and FEV1% in the study group were higher than those in the control group after surgery， and the differences were statistically significant (P<0.05). The levels of VEGFR2 and VEGF in the study group after surgery were lower than those in the control group， and the differences were statistically significant (P<0.05). The total incidence of postoperative complications (2.50%) in the study group was lower than that in the control group (15.00%)， and the difference was statistically significant (P<0.05). Conclusion Preoperative application effect of respiratory nursing special care can effectively improve lung function and lung cancer prognostic factor levels in patients with lung cancer， and reduce the incidence of postoperative complications., 百拇医药(蒋琳)
[关键词]呼吸锻炼专项护理;肺癌;常规护理;并发症
[中图分类号] R473.73 [文献标识码] A [文章編号] 1674-4721(2020)5(c)-0240-03
Application effect of special breathing exercise nursing before operation on lung cancer patients
JIANG Lin
Department of Cardiovascular Surgery， Xiangya Hospital of Central South University， Hu′nan Province， Changsha 410008， China
[Abstract] Objective To explore the application effect of preoperative breathing nursing on lung cancer patients before surgery and its effect on postoperative lung function and prognostic factor levels of lung cancer. Methods A total of 80 patients with lung cancer treated in our hospital from April 2017 to April 2019 were selected and divided into the control group (n=40) and the study group (n=40) according to the random number table method. The control group was given routine nursing intervention. Respiratory training ass used 1-2 weeks before the operation in the study group. One week after operation， the forced vital capacity (FVC%)， forced expiratory volume in one second (FEV1%)， vascular endothelial cell growth factor receptor 2 (VEGFR2)， and vascular endothelial growth factor (VEGF) and total complications between two groups were compared. Results The FVC% and FEV1% in the study group were higher than those in the control group after surgery， and the differences were statistically significant (P<0.05). The levels of VEGFR2 and VEGF in the study group after surgery were lower than those in the control group， and the differences were statistically significant (P<0.05). The total incidence of postoperative complications (2.50%) in the study group was lower than that in the control group (15.00%)， and the difference was statistically significant (P<0.05). Conclusion Preoperative application effect of respiratory nursing special care can effectively improve lung function and lung cancer prognostic factor levels in patients with lung cancer， and reduce the incidence of postoperative complications., 百拇医药(蒋琳)
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