Effects of pulmonary function training on the lung function and surgical tolerance of lung cancer patients with obstructive ventilatory defects
10.3760/cma.j.issn.0254-1424.2017.03.011
- VernacularTitle:肺功能锻炼对阻塞性通气功能障碍肺癌患者肺功能及手术耐受性的影响
- Author:
Jing WANG
;
Li LI
;
Hui HAN
;
Qinghua LIU
;
Hongsheng REN
- Keywords:
Pulmonary function training;
Obstructive ventilatory defects;
Lung cancer;
Surgical tolerance
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2017;39(3):202-206
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effects of pulmonary function training on the lung function and surgical tolerance of lung cancer patients with different degrees of obstructive ventilatory defect.Methods Pulnonary function training was performed with 103 lung cancer patients with obstructive ventilatory defects (26 mild cases,53 moderate cases,24 severe cases).The duration of the intensive training was 5-7 days.Vital capacity (VC),vital capacity percentage (VC％),forced vital capacity (FVC),forced vital capacity percentage (FVC％),forced expiratory volume in one second (FEV1),percentage of the forced expiratory volume in one second (FEV1％),maximum voluntary ventilation percentage (MVV％),peak expiratory flow percentage (PEF％),fraction of the forced expiratory volume in one second (FEV1/FVC),and maximum mid-expiratory flow percentage (MMEF％) were measured before and after the training.Any postoperative complications were recorded.Results The average MMEF％ improved significantly among the moderate patients after their training.Eventually 19/26 patients (73.08％) in the mild group,34/53 patients (64.15％) in the moderate group,and 8/24 patients (33.33％) in the severe group met the requirements to undergo lung operations.These were significant differences among the groups.Among those operated on,27 (44.26％) suffered from postoperative complications,a significantly higher percentage than among the normal controls (20.00％).Conclusion Lung function exercises can improve the operation tolerance of lung cancer patients with obstructive ventilation dysfunction,but the risk of operating is still much higher than for patients with normal ventilation function.
