Research Advances on Lung Function in Patients Undergone Surgery for Lung Cancer
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摘要: 肺癌术后肺功能受损是临床上不可避免的问题,而手术方式、切除部位和个体差异等因素导致肺功能损失程度和恢复时间节点存在差异。对肺功能检查的简介及作用、不同手术方式、切除部位及运动康复训练对肺功能的影响进行总结。旨在比较不同手术方式及手术切除部位患者的肺功能损失情况,为患者制定个性化运动康复护理方案提供参考。Abstract: After lung cancer surgery, lung function impairment is an unavoidable issue in clinical practice, with factors such as surgical methods, resection sites, and individual differences leading to variations in the extent of lung function loss and recovery time points. This article summarizes the introduction and role of lung function tests, the effects of different surgical methods, resection sites, and physical rehabilitation training on lung function. The aim is to compare the extent of lung function loss in patients undergoing different surgical methods and resection sites, providing a reference for developing personalized exercise rehabilitation care plans for patients.
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Key words:
- Lung cancer surgery /
- Loss of lung function /
- Exercise therapy /
- Rehabilitation training
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[1] Sung H,Ferlay J,Siegel R L,et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin,2021,71(3):209-249. doi: 10.3322/caac.21660 [2] Xu H F,Chen Q,Liu S Z,et al. Changing trend of incidence and mortality of stomach cancer during 2010-2016 in Henan Province,China[J]. Zhong hua Zhong Liu Za Zhi,2022,44(1):93-98. [3] 武强,孔浩,张博友,等. 早期非小细胞肺癌外科手术方式的争议[J]. 中国胸心血管外科临床杂志,2022,29(8):1066-1072. [4] Dong S,Li W,Wang L,et al. Histone-related genes are hypermethylated in lung cancer and hypermethylated HIST1H4F could serve as a pan-cancer biomarker[J]. Cancer Res,2019,79(24):6101-6112. doi: 10.1158/0008-5472.CAN-19-1019 [5] Bibo L,Goldblatt J,Merry C. Does preoperative pulmonary rehabilitation/physiotherapy improve patient outcomes following lung resection?[J]. Interact Cardiovasc Thorac Surg,2021,32(6):933-937. doi: 10.1093/icvts/ivab011 [6] Higashimoto Y,Ando M,Sano A,et al. Effect of pulmonary rehabilitation programs including lower limb endurance training on dyspnea in stable COPD: A systematic review and meta-analysis[J]. Respir Investig,2020,58(5):355-366. doi: 10.1016/j.resinv.2020.05.010 [7] Shiyko M P,Siembor B,Greene P B,et al. Intra-individual study of mindfulness: Ecological momentary perspective in post-surgical lung cancer patients[J]. J Behav Med,2019,42(1):102-110. doi: 10.1007/s10865-018-9942-7 [8] Aliboni L,Tullio M,Pennati F,et al. Functional analysis of the airways after pulmonary lobectomy through computational fluid dynamics[J]. Sci Rep,2022,12(1):3321. doi: 10.1038/s41598-022-06852-x [9] 李允,高怡,郑劲平. 《2021年ERS/ATS常规肺功能检查判读指南》的解读[J]. 中国循证医学杂志,2022,22(12):1375-1381. [10] Sogancioglu E,Murphy K,Th Scholten E,et al. Automated estimation of total lung volume using chest radiographs and deep learning[J]. Med Phys,2022,49(7):4466-4477. doi: 10.1002/mp.15655 [11] Mariani A W,Vallilo C C,de Albuquerque A L P,et al. Preoperative evaluation for lung resection in patients with bronchiectasis: Should we rely on standard lung function evaluation?[J]. Eur J Cardiothorac Surg,2021,59(6):1272-1278. doi: 10.1093/ejcts/ezaa454 [12] 郑劲平. 肺功能检查研究进展[J]. 中国实用内科杂志,2012,32(8):591-593. [13] Boushy S F,Billig D M,North L B,et al. Clinical course related to preoperative and postoperative pulmonary function in patients with bronchogenic carcinoma[J]. Chest,1971,59(4):383-391. doi: 10.1378/chest.59.4.383 [14] Chase C B,Mhaskar R,Fiedler C,et al. Effects of preoperative pulmonary function on perioperative outcomes after robotic-assisted pulmonary lobectomy[J]. Am J Surg,2023,226(1):128-132. doi: 10.1016/j.amjsurg.2023.02.016 [15] 宋少伟,李美鸽,王勇,等. 简单肺功能评价对Ⅰ、Ⅱ期非小细胞肺癌术式选择的价值[J]. 实用癌症杂志,2016,31(4):575-577. [16] Colice G L, Shafazand S, Griffin J P, et al. Physiologic evaluation of the patient with lung cancer being considered for resectional surgery: ACCP evidenced-based clinical practice guidelines (2nd edition)[J]. Chest, 2007, 132(3 Suppl): 161s-177s. [17] Brunelli A, Kim A W, Berger K I, et al. Physiologic evaluation of the patient with lung cancer being considered for resectional surgery: Diagnosis and management of lung cancer, 3rd ed: American college of chest physicians evidence-based clinical practice guidelines[J]. Chest, 2013, 143(5 Suppl): e166S-e190S. [18] 姜格宁,张雷,朱余明,等. 肺切除手术患者术前肺功能评估肺科共识[J]. 临床医学研究与实践,2020,5(1):201. [19] Benattia A,Debeaumont D,Guyader V,et al. Physiologic assessment before video thoracoscopic resection for lung cancer in patients with abnormal pulmonary function[J]. J Thorac Dis,2016,8(6):1170-1178. doi: 10.21037/jtd.2016.04.38 [20] Gao Y,Zhang H,Li Y,et al. Preoperative pulmonary function correlates with systemic inflammatory response and prognosis in patients with non-small cell lung cancer: Results of a single-institution retrospective study[J]. Oncotarget,2017,8(16):27489-27501. doi: 10.18632/oncotarget.14225 [21] 夏少锋,熊家俊,胡雅佩,等. 肺康复在胸腔镜肺癌围手术期的应用效果[J]. 中国当代医药,2022,29(15):77-80. [22] Wang J,Li R,Chang J,et al. Quality of life between home-based and outpatient pulmonary rehabilitation in patients after surgical resection for lung cancer: Protocol for a prospective,single-blind,randomised controlled trial[J]. BMJ Open,2023,13(5):e067845. doi: 10.1136/bmjopen-2022-067845 [23] 宋微微. 肺康复训练对肺癌术后患者肺功能以及生活质量的意义探讨[J]. 中国现代药物应用,2022,16(11):166-169. [24] 邵英,杨永芳,秦明芳,等. 云南省40岁及以上居民肺功能检查率及影响因素分析[J]. 中国慢性病预防与控制,2019,27(10):739-743. [25] 储美萍,黄建安. 肺功能影响因素与价值[J]. 临床肺科杂志,2016,21(5):906-909. [26] 张敏,朱旭,冉鹏. 影响肺功能主要因素的系统回顾[J]. 安徽医药,2023,27(9):1710-1714. [27] 麻月娥,崔妙玲,陈庆梅,等. 老年患者肺功能检查配合欠佳影响因素的质性研究[J]. 上海护理,2023,23(6):22-26. [28] 杨世兵,胡杰伟,周海宁. 胸腔镜手术与传统开胸手术对非小细胞肺癌患者心肺功能的影响及疗效分析[J]. 实用癌症杂志,2017,32(6):969-971,974. [29] 杨欣,曾兴建,付娟. 电视胸腔镜与传统手术对治疗非小细胞肺癌患者心肺功能影响分析[J]. 临床和实验医学杂志,2016,15(11):1087-1089. [30] Nagahiro I,Andou A,Aoe M,et al. Pulmonary function,postoperative pain,and serum cytokine level after lobectomy: A comparison of VATS and conventional procedure[J]. Ann Thorac Surg,2001,72(2):362-365. doi: 10.1016/S0003-4975(01)02804-1 [31] 李立彬,牛学瑞,李栋,等. 胸腔镜肺叶切除术与常规开胸手术治疗肺癌的疗效及并发症发生情况[J]. 实用癌症杂志,2020,35(1):91-93,103. [32] 车强,汪林宝,王孝彬,等. 电视胸腔镜下亚肺叶切除术与传统开胸肺叶切除联合淋巴结清扫术对老年早期非小细胞肺癌患者的疗效分析[J]. 癌症进展,2020,18(23):2424-2426,2438. [33] De L S R,Hon J K,Bateman E,et al. Minimally invasive anterior thoracotomy for routine lung cancer resection[J]. Innovations (Phila),2007,2(2):76-83. [34] 黄志刚,吴彦峥,刘亚锋,等. 达·芬奇机器人辅助胸腔镜肺叶切除术对肺癌患者心肺功能和生存质量的影响分析[J]. 中国医学前沿杂志(电子版),2020,12(5):85-89. [35] 王述民. 达·芬奇机器人在肺癌根治术中的应用现状及展望[J]. 中国肿瘤,2014,23(9):736-742. doi: 10.11735/j.issn.1004-0242.2014.09.A007 [36] 李艳君,谭祥秀. 机器人辅助胸腔镜手术在胸外科的应用现状及展望[J]. 中国医学创新,2023,20(15):170-174. [37] 魏淮东. 胸腔镜肺癌手术治疗老年非小细胞肺癌的临床分析[J]. 中国医药指南,2017,15(27):184-185. [38] Matsuo T,Imai K,Takashima S,et al. Outcomes and pulmonary function after sleeve lobectomy compared with pneumonectomy in patients with non-small cell lung cancer[J]. Thorac Cancer,2023,14(9):827-833. doi: 10.1111/1759-7714.14813 [39] Huang L,Zheng B,Chen C,et al. To explore clinical value of single-port video-assisted thoracoscopic surgery in elderly patients with non-small cell lung cancer: Lobectomy,segmentectomy and lobectomy vs segmentectomy[J]. Zhong guo Fei Ai Za Zhi,2018,21(4):287-295. [40] Gu Z,Wang H,Mao T,et al. Pulmonary function changes after different extent of pulmonary resection under video-assisted thoracic surgery[J]. J Thorac Dis,2018,10(4):2331-2337. doi: 10.21037/jtd.2018.03.163 [41] Ueda K,Tanaka T,Hayashi M,et al. Compensation of pulmonary function after upper lobectomy versus lower lobectomy[J]. J Thorac Cardiovasc Surg,2011,142(4):762-767. doi: 10.1016/j.jtcvs.2011.04.037 [42] Seok Y,Jheon S,Cho S. Serial changes in pulmonary function after video-assisted thoracic surgery lobectomy in lung cancer patients[J]. Thorac Cardiovasc Surg,2014,62(2):133-139. [43] Kim S J,Ahn S,Lee Y J,et al. Factors associated with preserved pulmonary function in non-small-cell lung cancer patients after video-assisted thoracic surgery[J]. Eur J Cardiothoracic Surg,2016,49(4):1084-1090. doi: 10.1093/ejcts/ezv325 [44] Matsuo K,Iwano S,Okada T,et al. 3D-CT lung volumetry using multidetector row computed tomography: Pulmonary function of each anatomic lobe[J]. J Thorac Imaging,2012,27(3):164-170. doi: 10.1097/RTI.0b013e31822641c9 [45] Kim H K,Lee Y J,Han K N,et al. Pulmonary function changes over 1 year after lobectomy in lung cancer[J]. Respir Care,2016,61(3):376-382. doi: 10.4187/respcare.04284 [46] Shin S,Kong S,Kang D,et al. Longitudinal changes in pulmonary function and patient-reported outcomes after lung cancer surgery[J]. Respir Res,2022,23(1):224. doi: 10.1186/s12931-022-02149-9 [47] Miserocchi G,Beretta E,Rivolta I. Respiratory mechanics and fluid dynamics after lung resection surgery[J]. Thoric Surg Clin,2010,20(3):345-357. doi: 10.1016/j.thorsurg.2010.03.001 [48] Shibazaki T,Mori S,Harada E,et al. Measured versus predicted postoperative pulmonary function at repeated times up to 1 year after lobectomy[J]. Interact Cardiovasc Thorac Surg,2021,33(5):727-733. doi: 10.1093/icvts/ivab168 [49] Laurent H,Aubreton S,Galvaing G,et al. Preoperative respiratory muscle endurance training improves ventilatory capacity and prevents pulmonary postoperative complications after lung surgery[J]. Eur J Phys Rehabil Med,2020,56(1):73-81. [50] 周露,王泠. 肺癌病人术前运动预康复研究进展[J]. 护理研究,2024,38(3):476-479. doi: 10.12102/j.issn.1009-6493.2024.03.018 [51] 王婷,王小兰,王敏,等. 短期术前不同强度吸气肌训练对肺叶切除术患者术后恢复效果的观察[J]. 护理实践与研究,2023,20(23):3510-3515. doi: 10.3969/j.issn.1672-9676.2023.23.007 [52] Bhatia C,Kayser B. Preoperative high-intensity interval training is effective and safe in deconditioned patients with lung cancer: A randomized clinical trial[J]. J Rehabil Med,2019,51(9):712-718. doi: 10.2340/16501977-2592 [53] 周海丽,刘小艳,沈云. 术前诱发性肺量预康复训练对老年肺癌手术患者术后短期肺功能、运动耐力及肺部并发症的影响[J]. 航空航天医学杂志,2023,34(11):1318-1320. [54] Edvardsen E,Skjønsberg O H,Holme I,et al. High-intensity training following lung cancer surgery: A randomised controlled trial[J]. Thorac,2015,70(3):244-250. [55] Ni H J,Pudasaini B,Yuan X T,et al. Exercise training for patients pre- and postsurgically treated for non-small cell lung cancer: A systematic review and meta-analysis[J]. Integr Cancer Ther,2017,16(1):63-73. doi: 10.1177/1534735416645180 [56] 陈亚群,毛玉琴,赵格非,等. 基于健康参与模型的运动康复干预在肺癌手术患者中的应用[J]. 现代临床护理,2023,22(12):50-55. doi: 10.3969/j.issn.1671-8283.2023.12.008 [57] 孙海燕. 肺康复对胸腔镜肺癌根治术病人肺功能、运动能力及生活质量的影响[J]. 蚌埠医学院学报,2023,48(9):1286-1290. [58] 何锡,胡娟,周芳. 综合性肺康复护理对老年COPD住院患者肺功能、运动耐力的影响[J]. 齐鲁护理杂志,2023,29(23):70-73. [59] 陈贞冉. 肺康复运动锻炼对肺癌术后患者肺功能及生命质量的影响[J]. 中国民康医学,2020,32(13):81-83. [60] 余中华,谢国省,秦昌龙,等. 肺癌合并慢阻肺患者术后运动康复获益探究[J]. 中国肺癌杂志,2022,25(1):14-20.
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