应用术后恢复质量量表评价肺癌术后恢复质量的研究

摘要

Objective:To research the quality of postoperative recovery of patients with lung cancer through the(PQRS),and compare the recovery quality after video-assisted thoracoscopic surgery (VATS) or traditional open lobectomy.Method:PQRS scale was used to evaluate the recovery of 140 patients with lung lesions preoperatively and postoperative 1 day,3 days,7 days,14 days and 1 month.95 patients who met the set standard and complete the PQRS scales were enrolled and divided into video-assisted thoracoscope group or traditional thoracotomy group.This article mainly compared and analysied the quality of postoperative recovery of patients in both groups.Result:Except the anesthesia time,other general datum showed no statistical difference.In total recovery rate,the video-assisted thoracoscope group has significant difference when compared with the traditional thoracotomy group(P ＜ 0.05).The recovery rates of VATS group in feeling of the harmful factors,emotional factors and the daily life are higher than that of the traditional thoracotomy group,with statistically significant differences(P ＜0.05).However,the recovery rates in the physiological factors and cognitive factors had no statistical difference between two groups(P＞ 0.05).Conclusion:PQRS can effectively evaluate the quality of postoperative recovery in patients with lung cancer,and VATS is helpful to quick recovery postoperatively.%目的:使用术后恢复质量量表(PQRS)研究肺癌患者的术后恢复质量,并对电视辅助式胸腔镜手术(VATS)和开胸术后恢复质量进行比较.方法:使用PQRS量表对140例肺部病变患者术前、术后1天(1d)、3天(3d)、7天(7d)、14天(14d)、1月(1m)的恢复情况进行评估,筛选纳入的符合标准并完成PQRS量表评估的95例患者,根据手术方式不同分为VATS组和开胸组,然后对两组患者术后恢复质量进行比较.结果:除了麻醉时间的差异有显著性意义外,其他一般资料均无显著性差异.VATS组患者的总恢复率明显高于开胸组(P＜0.05).VATS组患者在感受伤害性因素、情感因素、日常生活活动能力等方面的恢复率明显高于开胸组且差异有显著性意义(P＜0.05),生理性因素和认知能力的恢复率均无显著性差异(P＞ 0.05).结论:PQRS量表能有效地评估肺癌患者术后恢复质量,VATS能促进肺癌患者术后快速康复.