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目的观察振动正压呼吸训练对新辅助化疗后食管癌术后患者气道廓清能力的改善效果。方法募集符合入选条件的新辅助化疗后食管癌术后患者40例
按随机数字表将其分为对照组和试验组
每组患者20例。对照组于术后第一天开始进行常规康复干预
试验组在此基础上增加每日3次
连续5 d的振动正压呼吸训练。于术前、术后第一天、术后第三天、术后第五天检测2组患者的咳嗽峰流速(PCF);于术前和术后第五天检测2组患者的第一秒用力呼气量(FEV1)、用力呼气量(FVC)和最大呼气峰流速(PEF)。结果术后第一天
2组患者的PCF较组内术前均显著下降(P<0.05)。术后第三天和第五天
2组患者的PCF较组内术后第一天均显著上升
且试验组术后第三和第五天的PCF均显著高于对照组同时间点
差异均有统计学意义(P<0.05)。术后第五天
2组患者的FEV1、FVC、PEF较组内术前均显著下降(P<0.05)
术后第五天
试验组的FEV1和PEF分别为(2.22±0.51)L/s和(5.09±1.26)L/s
均显著高于对照组(P<0.05)。结论术后早期康复介入联合振动正压呼气训练可提高新辅助化疗后食管癌术后患者的咳嗽峰流速
改善气道廓清能力
促进术后肺功能的恢复。
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