The influence of postoperative controlled respiratory training for patients with non-small cell lung cancer: a randomised controlled trial
Background: Postoperative pulmonary complications are responsible for significant increases in hospital cost as well as patient morbidity and mortality; respiratory muscle dysfunction represents a contributing factor.Breathing training is an effective,non-pharmacological intervention but it is unclear how this should be delivered.The aim of this study was to investigate a controlled breathing training program provided by a device on pulmonary function and exercise capacity of patients with NSCLC after completion of their treatment.Patients and methods: This was a single centre,controlled blinded parallel group feasibility study.11 patients with non-smell cell lung cancer (NSCLC) underwent a controlled breathing trainging program provided by a device (CRT group) after completing cancer treatment.The remaining 9 who refused the device were taken as controls (RT group).Pulmonary function tests,6-minute walk test,and dyspnea severity before and after training were retrospectively analyzed.Results: A significant increases between before and after the program were found for FVC (p< 0.05 ),FEV1 (p< 0.05),Borg scale dyspnoea (1.55 verus 0.6,p=0.004),VO2max (p< 0.05) and 6MWD (p<0.01).On the other hand,an increasing trend has also been observed in the RT group,but no significant increases were found for FVC,FEV1,VO2max,and,interesting,a statistically significant improve of Borg scale dyspnoea (p<0.01 vs baseline) and 6MWD (p<0.01 vs baseline) were found.There was a trend for more improvement in Vt and VO2max for the CRT group patients that did reach statistical significance.Conclusions: Postoperative patients with NSCLC after treatment with the controlled breathing training seem to benefit in terms of exercise capacity and pulmonary function in early phase.
Li Xinping Chen Yi Zeng Bin He Shaochong Bai Liming Liu Yakang Zhang Mingsheng
Department of Physical Medicine and Rehabilitation,Guangdong Geriatric Institute,Guangdong Academy o Department of Physical Medicine and Rehabilitation,Guangdong Geriatric Institute,Guangdong Academy o Southern medical university,Guangzhou,510515,China
国内会议
第四届粤港澳台物理医学与康复学学术会议暨2013年广东省医学会物理医学与康复学学术会议
广州
英文
192-197
2013-08-16（万方平台首次上网日期，不代表论文的发表时间）