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关于支气管镜检查在肺癌患者术后管理中的应用述评。

Comment on the use of bronchoscopy in the postoperative management of lung cancer patients.

作者信息

Ramzi Syed Ibraheem Ul Hassan, Shah Syed Hameed-Ul-Hassan, Qureshi Hooria Ahmad, Ali Huzafa, Pandeya Ajay

机构信息

Multan Medical and Dental College, Multan.

CMH Multan Institute of Medical Sciences, Multan, Pakistan.

出版信息

Ann Med Surg (Lond). 2025 Jul 22;87(9):6226-6227. doi: 10.1097/MS9.0000000000003632. eCollection 2025 Sep.

Abstract

Zhang . explore "Effectiveness of bronchoscopy-assisted postoperative respiratory management in patients with lung cancer and impaired cough strength" in a high-risk population. The study is clinically relevant, but its sample size and lack of standardized objective assessments decrease its generalizability and reproducibility. The study discusses different interventions for respiratory clearance. The study discusses various interventions for respiratory clearance. However, the inclusion of noninvasive airway clearance techniques (e.g., physiotherapy or mechanical exsufflation) and bronchoscopy, guided by standard clinical guidelines and protocols, particularly for patients with neuromuscular conditions such as post-polio syndrome, could improve its clinical effectiveness. The study reported that 25% of patients had atelectasis because they did not get effective respiratory rehabilitation, which questions the effectiveness of the intervention on its own. These are gaps and limitations; thus, further studies that use standard guidelines and well-compared approaches are needed to benefitclinical practice.

摘要

张……在高危人群中探讨“支气管镜辅助下肺癌合并咳嗽力量受损患者术后呼吸管理的有效性”。该研究具有临床相关性,但其样本量以及缺乏标准化的客观评估降低了其普遍性和可重复性。该研究讨论了呼吸清除的不同干预措施。然而,纳入由标准临床指南和方案指导的无创气道清除技术(如物理治疗或机械咳痰)以及支气管镜检查,特别是对于患有神经肌肉疾病(如小儿麻痹后遗症)的患者,可能会提高其临床有效性。该研究报告称,25%的患者出现肺不张是因为他们没有得到有效的呼吸康复治疗,这对该干预措施本身的有效性提出了质疑。这些都是差距和局限性;因此,需要采用标准指南和充分对照方法的进一步研究,以使临床实践受益。

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