The effect of active respiratory exercise on pulmonary function and quality of life after an operation for carcinoma of the esophagus
10.3760/cma.j.issn.0254-1424.2014.010.008
- VernacularTitle:主动呼吸训练对食管癌术后患者肺功能及生活质量的影响
- Author:
Wenjing CHEN
;
Xue CHEN
;
Weimin ZHANG
- Publication Type:Journal Article
- Keywords:
Respiratory exercise;
Carcinoma;
Esophagus;
Pulmonary function;
Quality of life
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2014;36(10):769-773
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of progressive active respiratory exercise on the pulmonary function and quality of life of middle-aged and elderly patients after surgery for carcinoma of the esophagus.Methods Forty post-operative middle-aged and elderly patients with carcinoma of esophagus were randomized into 2 groups.The patients in the control group were given conventional thoracic nursing,while those in the experimental group were given 3-step thoracic or abdominal breathing training,breath holding training and respiratory gymnastics training in addition.A lung function test,the 6-min walk test and a 36-item short form health survey (SF-36)were used to evaluate the subjects' pulmonary function,motor ability and quality of life after 3,6 and 12 months of treatment.Results Vital capacity (VC) increased 23％ after training.Forced vital capacity (FVC) increased 16％.Maximal ventilation volume (MVV) increased 15％ and 50％ of forced expiratory flow (FEFS0) and the diffusing capacity for carbon monoxide of the lungs (DLCO) increased 30％.Average distance in the 6-minute walk test (6MWD) lengthened from 320 m to 449 m,and the quality of life of the patients in the experimental group improved much more than that of the control group.The average pulmonary function and 6MWD of the control group did not improve significantly with only nursing care.Their average SF-36 scores for physical function,mental health,physical pain,mental role and comprehensive health did,however,improve significantly after treatment.The changes in their role limitation,social function and energy scores were not significant.Conclusion Early and progressive active respiratory exercise can ameliorate lung dysfunction after a thoracic operation,and improve motor ability and quality of life.
