围术期放松训练对肺癌患者术后恢复的影响

邱春芸

[摘要] 目的 探讨围术期放松训练对肺癌患者术后恢复的影响。 方法 分析青海省第五人民医院外科2011年2月～2016年3月收治的肺癌患者120例临床资料，依据是否实施围术期放松训练分为两组，对照组60例采用常规护理措施，观察组60例采用围术期放松训练。观察两组术前、术后1 s用力呼吸容积（FEV1）、用力呼气量占用力肺活量比值（FEV1/FVC）、FEV1占预计值的百分比（FEV1%）、抑郁评分（SDS）、焦虑评分（SAS）、功能型维度评分、症状型维度评分。 结果 两组术前FEV1、FEV1/FVC、FEV1%、SDS、SAS、功能型维度评分、症状型维度评分比较差异均无统计学意义（P > 0.05）。观察组术后FEV1、FEV1/FVC、FEV1%、功能型维度评分、症状型维度评分均高于术前，SDS、SAS均低于术前，观察组改善较对照组显著，差异有统计学意义（P < 0.05）。 结论 围术期放松训练在肺癌中应用，可以改善患者肺功能和不良心理情绪，提高生活质量，值得临床推广应用。

[关键词] 围术期；放松训练；肺癌；术后恢复

[中图分类号] R473.6 [文献标识码] A [文章编号] 1673-7210（2016）12（b）-0158-04

Influence of perioperative relaxation training on postoperative recovery of patients with lung cancer

QIU Chunyun

Department of Surgery， the Fifth People′s Hospital， Qinghai Province， Xi'ning 810007， China

[Abstract] Objective To explore influence of perioperative relaxation training on postoperative recovery of patients with lung cancer. Methods Clinical data of 120 patients with lung cancer in Department of Surgery， the Fifth People′s Hospital， Qinghai Province from February 2011 to March 2016 were analyzed. They were divided into two groups according to whether implement perioperative relaxation training or not. Conventional nursing measure was used in control group of 60 cases， perioperative relaxation training was applied in observation group of 60 cases. FEV1， FEV1/FVC， FEV1%， SDS， SAS， functional dimension score， symptoms dimension score between two groups before operation and after operation were detected. Results FEV1， FEV1/FVC， FEV1%， SDS， SAS， functional dimension score， symptoms dimension score between two groups before operation were compared， with no statistical difference （P > 0.05）. FEV1， FEV1/FVC， FEV1%， functional dimension score， symptoms dimension score of observation group after operation were higher than before operation， SDS， SAS of observation group after operation were lower than before operation， observation group was significantly improved than that control group， with statistical differences （P < 0.05）. Conclusion Perioperative relaxation training applied in lung cancer can improve lung function and bad psychological emotion of patients， improve quality of life， it is worthy of clinical promotion and application.

[Key words] Perioperative period； Relaxation training； Lung cancer； Postoperative recovery

肺癌是目前世界上常見的恶性肿瘤，肺癌肺叶切除术后，患者往往出现不同程度的呼吸困难，肺容量通气量会有所降低，加上患者对手术过度担忧、术后疼痛、环境因素变化等，均会影响患者术后恢复效果[1-2]。近年来，放松训练在临床被广泛应用，其作为认知行为治疗的一种心理介入方法，通过教会患者系统地收缩和舒张骨骼肌肌群，以身体的松弛来达到放松心情减缓症状的目的。资料显示，放松训练可以缓解患者焦虑抑郁情绪，提升生活质量，但是目前放松训练在肺癌患者术后应用的报道较少[3]。本研究通过对肺癌患者的临床资料进行分析，拟探讨围术期放松训练对肺癌患者术后恢复的影响。 ……