文献类型：期刊文献

英文题名：Evaluation of Recovery Efficacy of Inspiratory Muscle Training After Lobectomy Based on Computed Tomography 3D Reconstruction

作者：Wang, Ting[1,2];Li, Fanfan[1,2];Wang, Xiaolan[1,2];Sang, Tingrui[3];Wang, Min[1];Ma, Xiaoli[1,2];Bao, Juan[4];Ma, Guojing[1,2];Wang, Panpan[1,2];Yue, Qin[1,2];Zhao, Dan[1,2];Ma, Minjie[1,2,5,6,7,8]

第一作者：Wang, Ting;王婷

通信作者：Ma, MJ[1]

机构：[1]Lanzhou Univ, Hosp 1, Dept Thorac Surg, Lanzhou, Peoples R China;[2]Gansu Univ Chinese Med, Sch Nursing, Lanzhou, Peoples R China;[3]Baoji Hosp Tradit Chinese Med, Dept Orthoped, Baoji, Peoples R China;[4]Ningxia Med Univ, Yinchuan, Peoples R China;[5]Key Technol Dev & Applicat Thorac Surg Specialty G, Lanzhou, Peoples R China;[6]Lanzhou Univ, Clin Med Coll 1, Lanzhou, Peoples R China;[7]Med Qual Control Ctr Thorac Surg Gansu Prov, Lanzhou, Peoples R China;[8]Lanzhou Univ, Hosp 1, Dept Thorac Surg, Donggang West Rd, Lanzhou 730000, Gansu, Peoples R China

第一机构：Lanzhou Univ, Hosp 1, Dept Thorac Surg, Lanzhou, Peoples R China

通信机构：[1]corresponding author), Lanzhou Univ, Hosp 1, Dept Thorac Surg, Donggang West Rd, Lanzhou 730000, Gansu, Peoples R China.

年份：2024

卷号：69

期号：1

起止页码：42

外文期刊名：RESPIRATORY CARE

收录：;Scopus(收录号：2-s2.0-85186219636);WOS:【SCI-EXPANDED(收录号:WOS:001179144500012)】；

基金：First, we thank Mr Minjie Ma, under whose careful guidance this article was completed from topic selection to completion and who has devoted a lot of his efforts. Second, we thank our colleagues and family members, whose support was indispensable for the successful completion of this article. Third, we thank Gansu University of Traditional Chinese Medicine for their diligent cultivation and the Department of Thoracic Surgery of the First Hospital of Lanzhou University for giving practical support to this study.

语种：英文

外文关键词：Thoracoscopic lobectomy; inspiratory muscle training; lung function; lung volume.

摘要：BACKGROUND: Progressive resistance inspiratory muscle training is the principle of inspiratory air-flow resistance loading training to restore diaphragm function, increase alveolar compliance, and further improve respiratory function. However, there is a lack of research on the effectiveness of progressive resistance inspiratory training in post-lobectomy rehabilitation and the accurate assessment of lung volumes. METHODS: In this study, 79 subjects diagnosed with lung cancer and undergoing thoracoscopic lobectomy were retrospectively analyzed. The subjects were divided into a control group (n = 40) and an observation group (n = 39) according to the different training modalities. The control group received conventional respiratory training. The observation group received progressive resistance inspiratory muscle training based on conventional breathing training. The primary outcome indicators were the following: lung function and lung volume. The secondary outcome indicators were the following: the number of postoperative hospital days, duration of drain retention, and incidence of postoperative pulmonary complications. lying disease, type of pathology, lung cancer stages, surgical site, preoperative lung volume, and preoperative lung function were not statistically different between the 2 groups (P > .05). The subjects in the observation group had median (interquartile range [IQR]) lung volumes at 1 month after surgery (3.22 [3.12-3.37] L vs 3.14 [2.95-3.24] L; P = .031), median (IQR) FEV1 (2.11 [1.96-2.21] L vs 2.01 [1.81-2.12] L; P = .031), and mean +/- SD peak expiratory flow (5.07 +/- 0.62 L/s vs 4.66 +/- 0.64 L/s; P = .005) were higher than those in the control group. The median (IQR) postoperative hospital stays (5 [4-5] d vs 5 [4-6] d; P = .030) and the median (IQR) chest drain retention times were shorter in the observation group versus the control group (74 [72-96] h vs 96 [84-96] h; P = .02). There was no significant difference in the incidence of postoperative atelectasis (5.1% vs 10.0%; P = .41) and pneumonia (7.7% vs 12.5%; P = .48). CONCLUSIONS: Progressive resistance inspiratory muscle training was effective in improving lung volume and lung function, and in reducing the length of hospital stay and chest drain closure time after lobectomy.