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肺癌患者术前康复:瑜伽方法。

Preoperative Rehabilitation in Lung Cancer Patients: Yoga Approach.

机构信息

Department of Medical Oral and Biotechnological Science, "Gabriele d'Annunzio" University, Chieti-Pescara, Italy.

Department of Biomolecular Sciences, 'Carlo Bo' University, Urbino, Italy.

出版信息

Adv Exp Med Biol. 2018;1096:19-29. doi: 10.1007/5584_2018_186.

Abstract

Lung cancer is one of the leading causes of cancer death worldwide. Surgical removal remains the best option for most tumors of this type. Reduction of cigarette consumption in patients with lung cancer candidates for the surgery could limit the impact of tobacco on postsurgical outcomes. Breathing exercises appear to help combat cigarette cravings. Yoga exercise benefits have been studied in lung cancer survivors, rather than in the preoperative setting. In this study, we have recruited 32 active smokers affected by lung cancer and being candidates for pulmonary surgery. The patients were randomly assigned to two groups: one treated by standard breathing and the other treated by yoga breathing (YB). The groups were evaluated at times T0 (baseline) and T1 (after 7 days of treatment) to compare the effects of the two breathing treatments on pulmonary performance in a presurgery setting. Pulmonary and cardiocirculatory functions have been tested using a self-calibrating computerized spirometer and a portable pulse oximetry device. The findings demonstrate appreciable short-term improvement in lung function assessed by spirometry. We conclude that yoga breathing can be a beneficial preoperative support for thoracic surgery.

摘要

肺癌是全球癌症死亡的主要原因之一。对于大多数此类肿瘤,手术切除仍然是最佳选择。减少肺癌手术候选者的吸烟量可以限制烟草对术后结果的影响。呼吸练习似乎有助于对抗吸烟的渴望。瑜伽运动的益处已在肺癌幸存者中进行了研究,而不是在术前环境中。在这项研究中,我们招募了 32 名患有肺癌且正在接受肺部手术的活跃吸烟者。患者被随机分配到两组:一组接受标准呼吸治疗,另一组接受瑜伽呼吸(YB)治疗。两组在 T0(基线)和 T1(治疗 7 天后)进行评估,以比较两种呼吸治疗方法对术前肺功能的影响。使用自校准计算机化肺活量计和便携式脉搏血氧仪测试了肺和心肺循环功能。研究结果表明,肺活量计评估的肺功能有明显的短期改善。我们得出结论,瑜伽呼吸可以成为胸外科手术有益的术前支持。

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