Nursing Department, Affiliated Hospital of Zunyi Medical University, No. 149, Dalian Road, Huichuan District, Zunyi City, Guizhou Province, 563000, China.
School of Nursing, Zunyi Medical University, No 6, Xuefu West Road, Zunyi City, Guizhou Province, 563000, China.
BMC Pulm Med. 2024 Feb 15;24(1):88. doi: 10.1186/s12890-024-02878-1.
Incentive spirometry (IS) as a routine respiratory therapy during the perioperative period has been widely used in clinical practice. However, the impact of IS on patients with perioperative lung cancer remains controversial. This review aimed to evaluate the efficacy of IS in perioperative pulmonary rehabilitation for patients with lung cancer.
Cochrane Library, PubMed, Web of Science, Ovid, CINAHL, Chinese National Knowledge Infrastructure, Weipu, and Wanfang Databases were searched from inception to 30 November 2023. Only randomized controlled trials were included in this systematic review. The PRISMA checklist served as the guidance for conducting this review. The quality assessment of the included studies was assessed by the Cochrane risk-of-bias tool. The meta-analysis was carried out utilizing Review Manager 5.4. Furthermore, sensitivity analysis and subgroup analysis were also performed.
Nine studies recruited 1209 patients met our inclusion criteria. IS combined with other respiratory therapy techniques was observed to reduce the incidence of postoperative pulmonary complications, enhance pulmonary function, curtail the length of hospital stay, and lower the Borg score. Nevertheless, no improvements were found in the six-minute walk distance or quality of life score.
Although IS demonstrates benefits as a component of comprehensive intervention measures for perioperative patients with lung cancer, it proves challenging to determine the precise impact of IS as a standalone component within the comprehensive intervention measures. Therefore, further researches are required to better understand the effectiveness of IS isolation and its interactions when integrated with additional respiratory therapies for these patients.
PROSPERO, https://www.crd.york.ac.uk/prospero/ , registry number: CRD42022321044.
激励式呼吸训练（IS）作为围手术期常规呼吸治疗方法已广泛应用于临床实践。然而，IS 对围手术期肺癌患者的影响仍存在争议。本综述旨在评估 IS 在肺癌围手术期肺康复中的疗效。
系统检索 Cochrane 图书馆、PubMed、Web of Science、Ovid、CINAHL、中国知网、维普、万方数据库建库至 2023 年 11 月 30 日的相关文献，仅纳入随机对照试验。采用 PRISMA 清单指导本研究的系统评价。采用 Cochrane 偏倚风险工具评估纳入研究的质量。使用 Review Manager 5.4 进行荟萃分析，同时进行敏感性分析和亚组分析。
共纳入 9 项研究，共纳入 1209 例患者。IS 联合其他呼吸治疗技术可降低术后肺部并发症发生率、改善肺功能、缩短住院时间、降低 Borg 评分，但 6 分钟步行距离和生活质量评分无改善。
IS 作为围手术期肺癌患者综合干预措施的一部分，具有一定的益处，但作为综合干预措施中的单独组成部分，IS 的确切影响仍难以确定。因此，需要进一步研究以更好地了解 IS 隔离及其与其他呼吸治疗联合应用于这些患者的效果。
PROSPERO，https://www.crd.york.ac.uk/prospero/ ，注册号：CRD42022321044。
