肺葉切除における術前呼吸リハビリテーションと術後呼吸機能に関する検討
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概要
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[Objective] With the extent of surgical indication for pulmonary lobectomy with in breathless patient or elderly, minimum invasive surgery and perioperative care for pulmonary function would be needed. The aim of this study was to assess the preoperative pulmonary rehabilitation （PR） for preserving the pulmonary function in patients undergoing video-assisted thoracic surgery （VATS） for lobectomy. [Methods] Patients undergoing VATS lobectomy （n=139）, including 13 patients who received PR, were retrospectively analyzed. Pulmonary function testing, including vital capacity （VC） and forced expiratory volume in 1 second （FEV_1）, was obtained preoperatively, after PR, and at 1months postoperatively. The recovery rate for postoperative pulmonary function, which standardized functional loss associated with the different resected lung volume, as expressed by [measured-postoperative value] / [predicted-postoperative value]×100（ %）, at 1 month after surgery. [Results] The mean period of PR was 13.8 days. The preoperative pulmonary function after PR was significantly improved （VC : 3.8%, FEV_1 : 8.5%, P<0.05）. The recovery rate of postoperative pulmonary function also better in PR group significantly（VC : 101.0%, FEV_1 : 106.6%, P<0.05）compared to the PR（－） group. [Conclusions] PR may be one of the options which contribute to extend the indication of surgery by improving pulmonary function and the recovery rate of pulmonary function after lobectomy in early period.
- 秋田医学会の論文
- 2013-11-21
秋田医学会 | 論文
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