Effects of preoperative planned pulmonary function exercise on the incidence of pulmonary complications in patients undergoing radical resection of esophageal cancer

Abstract

Objective To explore the effects of preoperative planned pulmonary function exercise on lung function, blood gas, quality of life and complications in patients undergoing radical resection of esophageal cancer. Methods A total of 100 cases of patients with esophageal cancer who underwent radical resection from January 2015 to January 2017 were selected for the study and were divided into observation group and control group according to the random number table method, 50 cases of each group.The control group received routine nursing care, and the observation group carried out planned pulmonary functional exercise on the basis of the control group.The lung function, respiratory function and blood gas value were compared between the two groups before and after intervention.The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate the patients' negative emotions.The Nottingham health scale (NHP) was used to evaluate the quality of life of the two groups before and after intervention, and the incidence rate of complications was compared between the two groups. Results The VC%, FEV1% and FVC% in observation group were significantly higher than those in control group (P<0.05). The respiratory rate in observation group was significantly higher than that in control group, while the SpO2 was significantly higher than that in control group (P<0.05). The PaO2 in observation group was significantly higher than that in control group (P<0.05). The NHP score in observation group was significantly higher than that in control group (P<0.05), while the scores of SAS and SDS were significantly lower than those in control group (P<0.05). The incidence rate of complications in observation group was significantly lower than that in control group (P<0.05). Conclusions Planned pulmonary function exercise can significantly improve lung function and blood gas in patients with radical resection of esophageal cancer, promote the quality of life, and effectively avoid the occurrence of complications. Key words: Planned pulmonary function exercise; Radical resection of esophageal cancer; Complications