邵氏“保肺功”围手术期综合训练法促进胸腔镜肺微创手术后快速康复*

作者：楚 晓1,2，郑 娟1,2，刘文静1,2，马 芸1,2，周慧敏1,2，黄慧英1,2，洪 熙3，童春颖3，姜 莹3，陆城华4

单位：1.复旦大学附属上海市第五人民医院，上海 200240； 2.复旦大学社区健康研究中心，上海 200240； 3.上海中医药大学，上海 201203； 4.上海中医药大学附属龙华医院，上海 200032

引用：引用：楚晓，郑娟，刘文静，马芸，周慧敏，黄慧英，洪熙，童春颖，姜莹，陆城华.邵氏“保肺功”围手术期综合训练法促进胸腔镜肺微创手术后快速康复[J].中医药导报,2025,31(7):91-97.

DOI：10.13862/j.cn43-1446/r.2025.07.015

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摘要：目的：探讨邵氏“保肺功”围手术期综合训练法用于胸腔镜肺微创手术后患者康复的作用。方法：选取160例择期行胸腔镜肺微创手术的患者，随机分为观察组（n=79）及对照组（n=81）。观察组患者围术期接受邵氏“保肺功”围手术期综合训练法康复训练，对照组接受常规康复训练。收集患者术前及术后的肺功能、肺损伤、生活质量情况。结果：术后1个月和3个月观察组患者的肺功能康复指标FEV1、FEV1%、DLCO、DLCO%及6 min步行距离均优于对照组，差异均有统计学意义（P＜0.05）；术后1个月和3个月，观察组患者的肿瘤坏死因子-α（TNF-α）及白介素（IL-6）检测指标水平均低于对照组，差异均有统计学意义（P＜0.05）；术后1周、1个月，观察组患者的ECOG评分及中医症状量化分级评分指标均低于对照组，差异均有统计学意义（P＜0.05）。结论：胸腔镜肺微创手术后患者应用邵氏“保肺功”围手术期综合训练法康复训练有助于术后快速康复。

关键词：胸腔镜肺微创手术；邵氏保肺功；术后康复

Abstract：

Objective: To explore the effect of "Shao's Lung Protection Exercise" comprehensive training method in the rehabilitation of patients after thoracoscopic minimally invasive lung surgery. Methods: A total of 160 patients undergoing thoracoscopic minimally invasive lung surgery were randomly divided into treatment group (n=79) and control group (n=81). The treatment group received "Shao's Lung Protection Exercise" perioperative comprehensive rehabilitation training during the perioperative period, and the control group received routine rehabilitation training. The lung function, lung injury and quality of life of patients before and after operation were collected. Results: After the intervention, the pulmonary function rehabilitation indexes FEV1, FEV1%, DLCO, DLCO% and 6-minute walk distance(6 MWD) of the treatment group were better than those of the control group at 1 month and 3 months after operation, and the differences were statistically significant (P<0.05). At 1 month and 3 months after operation, the levels of tumor necrosis factor-α and IL-6 were lower than those in the control group, and the difference was statistically significant (P＜0.05). At 1 week and 1 month after operation, the ECOG scores and TCM symptom quantitative grading scores of the treatment group were lower than those of the control group, and the difference was statistically significant (P<0.05). Conclusion: The application of "Shao's Lung Protection Exercise" during the operation period in patients after thoracoscopic minimally invasive pulmonary surgery is helpful for rapid recovery after operation.

Key words：thoracoscopic minimally invasive lung surgery; Shao's Lung Protection Exercise; postoperative rehabilitation

发布时间：2026-01-06

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