肺癌患者围术期肺康复训练的研究进展
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摘要
通过对肺康复的相关概念、肺癌患者肺康复训练的意义、肺癌围术期肺康复训练的现状,包括术前、术后的肺康复训练的方式、时间、频率及效果,肺康复的评价指标、康复训练方案临床应用的局限性及启示进行综述,旨在充分了解肺癌患者围术期的肺康复训练现状,为改善肺癌患者的运动能力、提高生存质量、制定康复训练策略提供依据。
This paper introduces the definition of lung rehabilitation, the significance of lung rehabilitation training for lung cancer patients, and current status of lung rehabilitation training in the perioperative period of lung cancer, including the method, time, frequency, and effect of preoperative and postoperative pulmonary rehabilitation training, evaluating indicators of lung rehabilitation, limitations and enlightenment of clinical application of rehabilitation training program. The purpose of this study is to fully understand the status of lung rehabilitation training for lung cancer patients during the perioperative period, and to provide a basis for improving the exercise ability, improving the quality of life, and formulating rehabilitation training strategies for lung cancer patients.
This paper introduces the definition of lung rehabilitation, the significance of lung rehabilitation training for lung cancer patients, and current status of lung rehabilitation training in the perioperative period of lung cancer, including the method, time, frequency, and effect of preoperative and postoperative pulmonary rehabilitation training, evaluating indicators of lung rehabilitation, limitations and enlightenment of clinical application of rehabilitation training program. The purpose of this study is to fully understand the status of lung rehabilitation training for lung cancer patients during the perioperative period, and to provide a basis for improving the exercise ability, improving the quality of life, and formulating rehabilitation training strategies for lung cancer patients.
引文
[1]CHEN W,ZHENG R,BAADE PD,et al.Cancer statistics in China,2015[J].CA Cancer J Clin,2016,66(2):115-132.
[2]SPRUIT MA,SINGH SJ,GARVEY C,et al.An official American Thoracic Society/European Respiratory Society statement:key concepts and advances in pulmonary rehabilitation[J].Am J Respir Crit Care Med,2013,188(8):e13-e64.
[3]OKITA A,YAMASHITA M,ABE K,et al.Variance analysis of a clinical pathway of video-assisted single lobectomy for lung cancer[J].Surg Today,2009,39(2):104-109.
[4]GUPTA H,RAMANAN B,GUPTA PK,et al.Impact of COPD on postoperative outcomes:results from a national database[J].Chest,2013,143(6):1599-606.
[5]BURTON BN,KHOCHE S,A'COURT AM,et al.Perioperative risk factors associated with postoperative unplanned intubation after lung resection[J].J Cardiothorac Vasc Anesth,2018,32(4):1739-1746.
[6]REEVE J,STILLER K,NICOL K,et al.A postoperative shoulder exercise program improves function and decreases pain following open thoracotomy:a randomised trial[J].J Physiother,2010,56(4):245-252.
[7]RIESENBERG H,LUBBE AS.In-patient rehabilitation of lung cancer patients-a prospective study[J].Support Care Cancer,2010,18(7):877-882.
[8]VAGVOLGYI A,ROZGONYI Z,KERTI M,et al.Effectiveness of pulmonary rehabilitation and correlations in between functional parameters,extent of thoracic surgery and severity of post-operative complications:randomized clinical trial[J].J Thorac Dis,2018,10(6):3519-3531.
[9]CHESTERFIELD-THOMAS G,GOLDSMITH I.Impact of preoperative pulmonary rehabilitation on the Thoracoscore of patients undergoing lung resection[J].Interact Cardiovasc Thorac Surg,2016,23(5):729-732.
[10]SEBIO GARCIA R,YANEZ BRAGE M I,GIMENEZ MOOL-HUYZEN E,et al.Functional and postoperative outcomes after preoperative exercise training in patients with lung cancer:a systematic review and meta-analysis[J].Interact Cardiovasc Thorac Surg,2016,23(3):486-497.
[11]赖玉田,苏建华,杨梅,等.术前短期综合肺康复训练对肺癌合并轻中度慢性阻塞性肺病患者的影响:一项前瞻性随机对照试验[J].中国肺癌杂志,2016,19(11):746-753.
[12]LICKER M,KARENOVICS W,DIAPER J,et al.Short-term preoperative high-intensity interval training in patients awaiting lung cancer surgery:a randomized controlled trial[J].J Thorac Oncol,2017,12(2):323-333.
[13]HASHMI A,BACIEWICZ FA JR,SOUBANI AO,et al.Preoperative pulmonary rehabilitation for marginal-function lung cancer patients[J].Asian Cardiovasc Thorac Ann,2017,25(1):47-51.
[14]车国卫,李为民,刘伦旭.快速肺康复需要围手术期流程优化[J].中国胸心血管外科临床杂志,2016,23(3):216-220.
[15]NICI L,DONNER C,WOUTERS E,et al.American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation[J].Am J Respir Crit Care Med,2006,173(12):1390-1413.
[16]梅建东,车国卫,杨梅,等.加速康复外科(ERAS)理念开启胸外科新篇章-记第一届胸科ERAS华西论坛[J].中国胸心血管外科临床杂志,2017,24(1):1-5.
[17]车国卫,刘伦旭,石应康.加速康复外科临床应用现状与思考[J].中国胸心血管外科临床杂志,2016,23(3):211-215.
[18]RIVAS-PEREZ H,NANA-SINKAM P.Integrating pulmonary rehabilitation into the multidisciplinary management of lung cancer:a review[J].Respir Med,2015,109(4):437-442.
[19]赖玉田,田龙,樊骏,等.肺癌住院手术患者临床特征与就诊模式的关系[J].中国肺癌杂志,2015,18(7):457-461.
[20]倪隽.肺癌患者肺康复的临床实践证据[J].中国康复医学杂志,2018,33(6):626-629.
[21]LAI Y,HUANG J,YANG M,et al.Seven-day intensive preoperative rehabilitation for elderly patients with lung cancer:a randomized controlled trial[J].J Surg Res,2017,209:30-36.
[22]高珂,赖玉田,黄健,等.非小细胞肺癌患者术前肺康复训练前后血清肺表面活性蛋白D(SP-D)改变与术后肺部并发症相关性的随机对照试验[J].中国胸心血管外科临床杂志,2017,24(5):330-337.
[23]车国卫,刘伦旭.肺康复训练有助于肺癌患者术后快速康复吗?[J].中国胸心血管外科临床杂志,2017,24(8):575-579.
[24]STEFANELLI F,MEOLI I,COBUCCIO R,et al.High-intensity training and cardiopulmonary exercise testing in patients with chronic obstructive pulmonary disease and non-small-cell lung cancer undergoing lobectomy[J].Eur J Cardiothorac Surg,2013,44(4):e260-e265.
[25]BOBBIO A,CHETTA A,AMPOLLINI L,et al.Preoperative pulmonary rehabilitation in patients undergoing lung resection for non-small cell lung cancer[J].Eur J Cardiothorac Surg,2008,33(1):95-98.
[26]MORANO MT,ARAUJO AS,NASCIMENTO FB,et al.Preoperative pulmonary rehabilitation versus chest physical therapy in patients undergoing lung cancer resection:a pilot randomized controlled trial[J].Arch Phys Med Rehabil,2013,94(1):53-58.
[27]COATS V,MALTAIS F,SIMARD S,et al.Feasibility and effectiveness of a home-based exercise training program before lung resection surgery[J].Can Respir J,2013,20(2):e10-e16.
[28]LAURENT H,GALVAING G,THIVAT E,et al.Effect of an intensive 3-week preoperative home rehabilitation programme in patients with chronic obstructive pulmonary disease eligible for lung cancer surgery:a multicentre randomised controlled trial[J].BMJ Open,2017,7(11):e017307.
[29]JONES LW,PEDDLE CJ,EVES ND,et al.Effects of presurgical exercise training on cardiorespiratory fitness among patients undergoing thoracic surgery for malignant lung lesions[J].Cancer,2007,110(3):590-598.
[30]BENZO R,WIGLE D,NOVOTNY P,et al.Preoperative pulmonary rehabilitation before lung cancer resection:results from two randomized studies[J].Lung Cancer,2011,74(3):441-445.
[31]周坤,苏建华,赖玉田,等术前肺康复训练对肺癌患者术后肺炎的影响[J].中华胸部外科电子杂志,2017,4(3):164-170.
[32]BROCKI BC,WESTERDAHL E,LANGER D,et al.Decrease in pulmonary function and oxygenation after lung resection[J].ERJOpen Res,2018,4(1):pii 00055-2017.
[33]CAVALHERI V,TAHIRAH F,NONOYAMA M,et al.Exercise training undertaken by people within 12 months of lung resection for non-small cell lung cancer[J].Cochrane Database Syst Rev,2013,31(7):Cd009955.
[34]EDVARDSEN E,SKJONSBERG OH,HOLME I,et al.High-intensity training following lung cancer surgery:a randomised controlled trial[J].Thorax,2015,70(3):244-250.
[35]MCKOY NA,WILSON LM,SALDANHA IJ,et al.Active cycle of breathing technique for cystic fibrosis[J].Cochrane Database Syst Rev,2016,7:CD007862.
[36]杨梅,钟就娣,张俊娥,等.老年肺癌手术患者主动循环呼吸技术训练自信心培养的效果评价[J].中华护理杂志,2018,53(5):523-527.
[37]韩燕.八段锦训练对非小细胞肺癌术后康复期患者的影响研究[D].太原:山西医科大学,2017.
[38]周希蓓,张仪芝,陆唯.门诊-居家康复运动对肺叶切除术患者身体活动量的影响[J].护理学杂志,2016,31(18):92-94.
[39]MESSAGGI-SARTOR M,MARCO E,MARTINEZ-TELLEZ E,et al.Combined aerobic exercise and high-intensity respiratory muscle training in patients surgically treated for non-small cell lung cancer:a pilot randomized clinical trial[J].Eur J Phys Rehabil Med,2018,55(1):113-122.
[40]边佳,赵友林,张兵.肺康复疗法对老年COPD稳定期患者血清炎症因子的影响[J].海南医学,2017,28(17):2765-2768.
[41]HENKE CC,CABRI J,FRICKE L,et al.Strength and endurance training in the treatment of lung cancer patients in stages IIIA/IIIB/IV[J].Support Care Cancer,2014,22(1):95-101.
[42]HATTORI K,MATSUDA T,TAKAGI Y,et al.Preoperative six-minute walk distance is associated with pneumonia after lung resection[J].Interact Cardiovasc Thorac Surg,2018,26(2):277-283.
[43]KUBORI Y,MATSUKI R,HOTTA A,et al.Comparison between stair-climbing test and six-minute walk test after lung resection using video-assisted thoracoscopic surgery lobectomy[J].J Phys Ther Sci,2017,29(5):902-904.
[44]HWANG CL,YU CJ,SHIH JY,et al.Effects of exercise training on exercise capacity in patients with non-small cell lung cancer receiving targeted therapy[J].Support Care Cancer,2012,20(12):3169-3177.
[45]GRANGER CL,CHAO C,MCDONALD CF,et al.Safety and feasibility of an exercise intervention for patients following lung resection:a pilot randomized controlled trial[J].Integr Cancer Ther,2013,12(3):213-224.
[46]车国卫,刘伦旭,周清华.加速康复外科从理论到实践-我们还需要做什么?[J].中国肺癌杂志,2017,20(4):219-225.
[47]车国卫,支修益.肺癌合并慢性阻塞性肺疾病患者围手术期气道管理现状[J].中国肺癌杂志,2014,17(12):884-888.
[2]SPRUIT MA,SINGH SJ,GARVEY C,et al.An official American Thoracic Society/European Respiratory Society statement:key concepts and advances in pulmonary rehabilitation[J].Am J Respir Crit Care Med,2013,188(8):e13-e64.
[3]OKITA A,YAMASHITA M,ABE K,et al.Variance analysis of a clinical pathway of video-assisted single lobectomy for lung cancer[J].Surg Today,2009,39(2):104-109.
[4]GUPTA H,RAMANAN B,GUPTA PK,et al.Impact of COPD on postoperative outcomes:results from a national database[J].Chest,2013,143(6):1599-606.
[5]BURTON BN,KHOCHE S,A'COURT AM,et al.Perioperative risk factors associated with postoperative unplanned intubation after lung resection[J].J Cardiothorac Vasc Anesth,2018,32(4):1739-1746.
[6]REEVE J,STILLER K,NICOL K,et al.A postoperative shoulder exercise program improves function and decreases pain following open thoracotomy:a randomised trial[J].J Physiother,2010,56(4):245-252.
[7]RIESENBERG H,LUBBE AS.In-patient rehabilitation of lung cancer patients-a prospective study[J].Support Care Cancer,2010,18(7):877-882.
[8]VAGVOLGYI A,ROZGONYI Z,KERTI M,et al.Effectiveness of pulmonary rehabilitation and correlations in between functional parameters,extent of thoracic surgery and severity of post-operative complications:randomized clinical trial[J].J Thorac Dis,2018,10(6):3519-3531.
[9]CHESTERFIELD-THOMAS G,GOLDSMITH I.Impact of preoperative pulmonary rehabilitation on the Thoracoscore of patients undergoing lung resection[J].Interact Cardiovasc Thorac Surg,2016,23(5):729-732.
[10]SEBIO GARCIA R,YANEZ BRAGE M I,GIMENEZ MOOL-HUYZEN E,et al.Functional and postoperative outcomes after preoperative exercise training in patients with lung cancer:a systematic review and meta-analysis[J].Interact Cardiovasc Thorac Surg,2016,23(3):486-497.
[11]赖玉田,苏建华,杨梅,等.术前短期综合肺康复训练对肺癌合并轻中度慢性阻塞性肺病患者的影响:一项前瞻性随机对照试验[J].中国肺癌杂志,2016,19(11):746-753.
[12]LICKER M,KARENOVICS W,DIAPER J,et al.Short-term preoperative high-intensity interval training in patients awaiting lung cancer surgery:a randomized controlled trial[J].J Thorac Oncol,2017,12(2):323-333.
[13]HASHMI A,BACIEWICZ FA JR,SOUBANI AO,et al.Preoperative pulmonary rehabilitation for marginal-function lung cancer patients[J].Asian Cardiovasc Thorac Ann,2017,25(1):47-51.
[14]车国卫,李为民,刘伦旭.快速肺康复需要围手术期流程优化[J].中国胸心血管外科临床杂志,2016,23(3):216-220.
[15]NICI L,DONNER C,WOUTERS E,et al.American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation[J].Am J Respir Crit Care Med,2006,173(12):1390-1413.
[16]梅建东,车国卫,杨梅,等.加速康复外科(ERAS)理念开启胸外科新篇章-记第一届胸科ERAS华西论坛[J].中国胸心血管外科临床杂志,2017,24(1):1-5.
[17]车国卫,刘伦旭,石应康.加速康复外科临床应用现状与思考[J].中国胸心血管外科临床杂志,2016,23(3):211-215.
[18]RIVAS-PEREZ H,NANA-SINKAM P.Integrating pulmonary rehabilitation into the multidisciplinary management of lung cancer:a review[J].Respir Med,2015,109(4):437-442.
[19]赖玉田,田龙,樊骏,等.肺癌住院手术患者临床特征与就诊模式的关系[J].中国肺癌杂志,2015,18(7):457-461.
[20]倪隽.肺癌患者肺康复的临床实践证据[J].中国康复医学杂志,2018,33(6):626-629.
[21]LAI Y,HUANG J,YANG M,et al.Seven-day intensive preoperative rehabilitation for elderly patients with lung cancer:a randomized controlled trial[J].J Surg Res,2017,209:30-36.
[22]高珂,赖玉田,黄健,等.非小细胞肺癌患者术前肺康复训练前后血清肺表面活性蛋白D(SP-D)改变与术后肺部并发症相关性的随机对照试验[J].中国胸心血管外科临床杂志,2017,24(5):330-337.
[23]车国卫,刘伦旭.肺康复训练有助于肺癌患者术后快速康复吗?[J].中国胸心血管外科临床杂志,2017,24(8):575-579.
[24]STEFANELLI F,MEOLI I,COBUCCIO R,et al.High-intensity training and cardiopulmonary exercise testing in patients with chronic obstructive pulmonary disease and non-small-cell lung cancer undergoing lobectomy[J].Eur J Cardiothorac Surg,2013,44(4):e260-e265.
[25]BOBBIO A,CHETTA A,AMPOLLINI L,et al.Preoperative pulmonary rehabilitation in patients undergoing lung resection for non-small cell lung cancer[J].Eur J Cardiothorac Surg,2008,33(1):95-98.
[26]MORANO MT,ARAUJO AS,NASCIMENTO FB,et al.Preoperative pulmonary rehabilitation versus chest physical therapy in patients undergoing lung cancer resection:a pilot randomized controlled trial[J].Arch Phys Med Rehabil,2013,94(1):53-58.
[27]COATS V,MALTAIS F,SIMARD S,et al.Feasibility and effectiveness of a home-based exercise training program before lung resection surgery[J].Can Respir J,2013,20(2):e10-e16.
[28]LAURENT H,GALVAING G,THIVAT E,et al.Effect of an intensive 3-week preoperative home rehabilitation programme in patients with chronic obstructive pulmonary disease eligible for lung cancer surgery:a multicentre randomised controlled trial[J].BMJ Open,2017,7(11):e017307.
[29]JONES LW,PEDDLE CJ,EVES ND,et al.Effects of presurgical exercise training on cardiorespiratory fitness among patients undergoing thoracic surgery for malignant lung lesions[J].Cancer,2007,110(3):590-598.
[30]BENZO R,WIGLE D,NOVOTNY P,et al.Preoperative pulmonary rehabilitation before lung cancer resection:results from two randomized studies[J].Lung Cancer,2011,74(3):441-445.
[31]周坤,苏建华,赖玉田,等术前肺康复训练对肺癌患者术后肺炎的影响[J].中华胸部外科电子杂志,2017,4(3):164-170.
[32]BROCKI BC,WESTERDAHL E,LANGER D,et al.Decrease in pulmonary function and oxygenation after lung resection[J].ERJOpen Res,2018,4(1):pii 00055-2017.
[33]CAVALHERI V,TAHIRAH F,NONOYAMA M,et al.Exercise training undertaken by people within 12 months of lung resection for non-small cell lung cancer[J].Cochrane Database Syst Rev,2013,31(7):Cd009955.
[34]EDVARDSEN E,SKJONSBERG OH,HOLME I,et al.High-intensity training following lung cancer surgery:a randomised controlled trial[J].Thorax,2015,70(3):244-250.
[35]MCKOY NA,WILSON LM,SALDANHA IJ,et al.Active cycle of breathing technique for cystic fibrosis[J].Cochrane Database Syst Rev,2016,7:CD007862.
[36]杨梅,钟就娣,张俊娥,等.老年肺癌手术患者主动循环呼吸技术训练自信心培养的效果评价[J].中华护理杂志,2018,53(5):523-527.
[37]韩燕.八段锦训练对非小细胞肺癌术后康复期患者的影响研究[D].太原:山西医科大学,2017.
[38]周希蓓,张仪芝,陆唯.门诊-居家康复运动对肺叶切除术患者身体活动量的影响[J].护理学杂志,2016,31(18):92-94.
[39]MESSAGGI-SARTOR M,MARCO E,MARTINEZ-TELLEZ E,et al.Combined aerobic exercise and high-intensity respiratory muscle training in patients surgically treated for non-small cell lung cancer:a pilot randomized clinical trial[J].Eur J Phys Rehabil Med,2018,55(1):113-122.
[40]边佳,赵友林,张兵.肺康复疗法对老年COPD稳定期患者血清炎症因子的影响[J].海南医学,2017,28(17):2765-2768.
[41]HENKE CC,CABRI J,FRICKE L,et al.Strength and endurance training in the treatment of lung cancer patients in stages IIIA/IIIB/IV[J].Support Care Cancer,2014,22(1):95-101.
[42]HATTORI K,MATSUDA T,TAKAGI Y,et al.Preoperative six-minute walk distance is associated with pneumonia after lung resection[J].Interact Cardiovasc Thorac Surg,2018,26(2):277-283.
[43]KUBORI Y,MATSUKI R,HOTTA A,et al.Comparison between stair-climbing test and six-minute walk test after lung resection using video-assisted thoracoscopic surgery lobectomy[J].J Phys Ther Sci,2017,29(5):902-904.
[44]HWANG CL,YU CJ,SHIH JY,et al.Effects of exercise training on exercise capacity in patients with non-small cell lung cancer receiving targeted therapy[J].Support Care Cancer,2012,20(12):3169-3177.
[45]GRANGER CL,CHAO C,MCDONALD CF,et al.Safety and feasibility of an exercise intervention for patients following lung resection:a pilot randomized controlled trial[J].Integr Cancer Ther,2013,12(3):213-224.
[46]车国卫,刘伦旭,周清华.加速康复外科从理论到实践-我们还需要做什么?[J].中国肺癌杂志,2017,20(4):219-225.
[47]车国卫,支修益.肺癌合并慢性阻塞性肺疾病患者围手术期气道管理现状[J].中国肺癌杂志,2014,17(12):884-888.