肺癌手术患者肺功能研究现状

罗颖; 董文勋; 陈颖; 谭祥秀

doi:10.12259/j.issn.2095-610X.S20240426

肺癌手术患者肺功能研究现状

doi: 10.12259/j.issn.2095-610X.S20240426

昆明医科大学第三附属医院/云南省肿瘤医院胸外一科，云南昆明　650118

基金项目: 国家自然科学基金资助项目（82272980；82060426）；昆明医科大学教研教改课题基金资助项目（2022-JY-Y-106）

详细信息

作者简介:
罗颖（2000～），女，云南保山人，在读硕士研究生，主要从事胸外科护理工作

通讯作者:
谭祥秀，E-mail： 278296909@qq.com

中图分类号: R473.73
计量
- 文章访问数: 1875
- HTML全文浏览量: 859
- PDF下载量: 32
- 被引次数: 0
出版历程
- 收稿日期: 2023-07-27
- 刊出日期: 2024-04-25

Research Advances on Lung Function in Patients Undergone Surgery for Lung Cancer

Dept. of Thoracic Surgery，The 3rd Affiliated Hospital of Kunming Medical University/Yunnan Cancer Hospital，Kunming Yunnan 650118，China

摘要

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。
- 肺癌手术 /
- 肺功能损失程度 /
- 运动疗法 /
- 康复训练
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.
- Lung cancer surgery /
- Loss of lung function /
- Exercise therapy /
- Rehabilitation training

HTML全文

参考文献(60)

[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.

计量

文章访问数: 1875
HTML全文浏览量: 859
PDF下载量: 32
被引次数: 0

姓名
邮箱
手机号码
标题
留言内容
验证码

留言板

肺癌手术患者肺功能研究现状

doi: 10.12259/j.issn.2095-610X.S20240426

作者简介:
罗颖（2000～），女，云南保山人，在读硕士研究生，主要从事胸外科护理工作

通讯作者:
谭祥秀，E-mail： 278296909@qq.com

计量

Research Advances on Lung Function in Patients Undergone Surgery for Lung Cancer

计量

目录

[1]	黄群, 侯黎莉, 王德桂, 王召君, 吴思圆, 桑莹莹. 5A模式下主动循环呼吸技术训练在肺癌手术患者中的效果, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20240627
[2]	李豫, 朱琳, 陈科容, 李依, 余忠祥, 吴成银, 施红伶. 下肢外骨骼机器人联合传统康复训练对脑卒中患者步行功能恢复的疗效观察, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20240714
[3]	张雪, 陈伟伟, 李翠花, 曹海涛. 基于力学理念的康复训练联合Ilizarov技术矫形对老年膝骨关节炎患者膝关节稳定性和下肢负重的影响, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20230326
[4]	吴长勇, 王睿, 保苏丽, 李锐洁, 孙煌, 叶雨佳, 徐菲, 彭云珠. 运动康复对心肌梗死大鼠心脏纤维化及心功能的影响, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20231004
[5]	蔺小英, 谭艳, 杨磊. 双重任务训练对帕金森病患者运动功能的影响, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20230110
[6]	孔亚楠, 茅金宝, 邹振亚, 李琳, 商星辰, 孔祥云. 程序化护理实施健康教育对肺癌患者围术期焦虑及依从性的影响, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20220706
[7]	何思锦, 陈小霞, 罗凯旋, 顾力华, 和智娟, 周剑英. 镜像疗法联合作业治疗对脑卒中偏瘫上肢运动功能和日常生活活动能力的影响, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20210611
[8]	高英, 王美琪. 规范运动处方康复训练对腰椎间盘突出症的临床疗效, 昆明医科大学学报. doi: 10.12259/j.issn.2095-610X.S20210826
[9]	吴严冰, 保文莉, 胡孝海. 肌筋膜触发点联合牵伸运动治疗股髌疼痛综合征, 昆明医科大学学报.
[10]	陈禹彤, 毛锐涛, 姚黎清, 李旺祥, 祝畅. 镜像疗法结合传统康复训练对周围性面瘫的疗效, 昆明医科大学学报.
[11]	谢晓燕, 程元, 程贤琴, 杜蓉, 刘晓玲, 倪梓桐, 潘泓频. 早期吞咽功能训练对脑卒中气管切开患者快速康复的影响, 昆明医科大学学报.
[12]	杨孟昌, 邓小凡, 李鹏, 苏文杰, 蒋蓉, 温开兰, 谢敏. 加速康复外科在复杂泡型肝包虫手术中的应用, 昆明医科大学学报.
[13]	邬燕, 郑伟, 姜苏芸, 高志, 何玲, 陈红梅, 余莹莹, 李强. 趣味功能训练在前交叉韧带重建术后康复的应用, 昆明医科大学学报.
[14]	周亚妮. 加速康复外科理念对胃癌患者围手术期护理的效果评价, 昆明医科大学学报.
[15]	魏韩笑. 手术联合光动力疗法治疗颜面部基底细胞癌10例, 昆明医科大学学报.
[16]	张建秀. 跨理论模型对慢性心衰患者康复训练的临床效果分析, 昆明医科大学学报.
[17]	王鑫. 无创正压通气下运动锻炼在严重COPD病人肺康复中的应用, 昆明医科大学学报.
[18]	魏卫. 老年髋关节置换术后康复训练对关节功能恢复的观察, 昆明医科大学学报.
[19]	. 运动处方在脑卒中偏瘫患者上肢功能康复中的疗效观察, 昆明医科大学学报.
[20]	李晓明. 系统性淋巴结清扫在非小细胞肺癌手术中的应用, 昆明医科大学学报.

留言板

肺癌手术患者肺功能研究现状

doi: 10.12259/j.issn.2095-610X.S20240426

作者简介: 罗颖（2000～），女，云南保山人，在读硕士研究生，主要从事胸外科护理工作

通讯作者: 谭祥秀，E-mail： 278296909@qq.com

计量

出版历程

Research Advances on Lung Function in Patients Undergone Surgery for Lung Cancer

计量

出版历程

目录

作者简介:
罗颖（2000～），女，云南保山人，在读硕士研究生，主要从事胸外科护理工作

通讯作者:
谭祥秀，E-mail： 278296909@qq.com