Effect of active cycle of breathing technique on fast track recovery after pulmonary lobectomy for non-small cell lung cancer / 中国康复医学杂志

ABSTRACT

Objective:To investigate the impact of active cycle of breathing technique(ACBT) and conventional air way clearance therapy(percussion and vibration) on fast track recovery after pulmonary lobectomy for non-small cell lung cancer.Method:A total of 78 lung cancer patient were chosen from 106 lung cancer patient admitted to Guangdong general hospital between January 2016 and January 2017.During study period,two patients dropped out in each group and 74 patients were included in the analysis finally.They were randomly allocated into experimental group (experimental group,37 patients including 23 males and 14 females with their average age of 56.05± 10.57 years)and control group (control group,37 patients including 21 males and 16 females with their average age of 59.35±10.57 years).There was no statistical difference in preoperative clinical characteristics.Patients in the control group had routine postoperative percussive and vibration chest physiotherapy ten minutes for every time,twice a day.Participants in the ACBT group received ACBT treatment for twice a day,6-8 cycle every time after surgery.The total hospital stay,postoperative hospital stay,length of chest tube removal and recovery level of cardiopulmonary function were compared between the 2 groups.Result:The length of chest tube removal of experiment group were significantly less than that of control group (1.41±0.60 vs 2.84±1.07 P＜0.05).Patients in the ACBT group showed significant improvement in cardiopulmonary function assessed by 6MWD and the less change in pulmonary function(FEVI and FVC) relative to the preoperation on the fourth day after surgery (377.46±67.95 vs 328.48±89.17,0.55±0.38 vs 1.03±0.45,0.84±0.20 vs 1.22±0.48,P＜0.05).Although the total hospital stay and postoperative hospital stay of experiment group were less than the control group(11.76±3.56 vs 13.73±4.90,5.56±2.64 vs 6.16±2.40,P＞0.05,there was no statistical difference.Conclusion:Compared with conventional air way clearance therapy(percussion and vibration),the ACBT can shorten the length of chest tube removal and promote the recovery of postoperative cardiopulmonary function,which is helpful for fast track recovery of NSCL patient after pulmonary lobectomy.