Department of Thoracic Surgery, faculty of Medicine, Akdeniz university, Antalya, Turkey.
Afr Health Sci. 2023 Mar;23(1):646-655. doi: 10.4314/ahs.v23i1.69.
Investigating the effects of the preoperative short term intensive pulmonary rehabilitation program applied for patients who have undergone lung resection by thoracotomy, on lung functions, complication rates and length of hospital stay during the postoperative period.
A prospective randomized trial of sixty patients were enrolled who would undergo pulmonary resection by thoracotomy and were randomly divided in two groups. Intensive pulmonary rehabilitation was performed on these patients in the study group 3 hours a day throughout 7 days during the preoperative period. Groups were compared with respect to their spirometric pulmonary functions, respiratory parameters, blood gas parameters, complication rates and length of hospital stay.
Total incidence rate of complications in the patients from the control group significantly increased(p=0,028). When patients who underwent lobectomy and wedge resection were observed, length of hospital stay of those in the control group was seen to be statistically higher in comparison with the study group(p<0,05).
We consider that it will be very beneficial to perform a short term and intensive pulmonary rehabilitation program on every patient possible who is planned to undergo thoracotomy and lobectomy or wedge resection treatment.
探讨术前短期强化肺康复方案对接受剖胸肺切除术患者的肺功能、术后并发症发生率和住院时间的影响。
前瞻性随机试验纳入 60 例拟行剖胸肺切除术的患者，随机分为两组。研究组患者在术前 7 天内每天进行 3 小时强化肺康复。比较两组患者的肺功能、呼吸参数、血气参数、并发症发生率和住院时间。
对照组患者的总并发症发生率显著增加（p=0.028）。对于接受肺叶切除术和楔形切除术的患者，对照组患者的住院时间明显长于研究组（p<0.05）。
我们认为，对每一位计划接受剖胸肺叶切除术或楔形切除术的患者进行短期强化肺康复方案是非常有益的。
