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Meng S, Yang F, Dai F, et al. [Effect of A High Intensive Preoperative Rehabilitation on the Perioperative 
Complications in Patients with Chronic Obstructive Pulmonary Disease Eligible 
for Lung Cancer Surgery]. Zhongguo Fei Ai Za Zhi. 2018;21(11):841-848doi: 10.3779/j.issn.1009-3419.2018.11.06.
Meng, S., Yang, F., Dai, F., Chen, S., Huang, C., Tan, Q., & Niu, H. (2018). [Effect of A High Intensive Preoperative Rehabilitation on the Perioperative 
Complications in Patients with Chronic Obstructive Pulmonary Disease Eligible 
for Lung Cancer Surgery]. Zhongguo fei ai za zhi = Chinese journal of lung cancer, 21(11), 841-848. https://doi.org/10.3779/j.issn.1009-3419.2018.11.06
Meng, Shenglan, et al. "[Effect of A High Intensive Preoperative Rehabilitation on the Perioperative 
Complications in Patients with Chronic Obstructive Pulmonary Disease Eligible 
for Lung Cancer Surgery]." Zhongguo fei ai za zhi = Chinese journal of lung cancer vol. 21,11 (2018): 841-848. doi: https://doi.org/10.3779/j.issn.1009-3419.2018.11.06
Meng S, Yang F, Dai F, Chen S, Huang C, Tan Q, Niu H. [Effect of A High Intensive Preoperative Rehabilitation on the Perioperative 
Complications in Patients with Chronic Obstructive Pulmonary Disease Eligible 
for Lung Cancer Surgery]. Zhongguo Fei Ai Za Zhi. 2018 Nov 20;21(11):841-848. doi: 10.3779/j.issn.1009-3419.2018.11.06. Chinese. PMID: 30454546; PMCID: PMC6247008.
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Zhongguo Fei Ai Za Zhi. 2018 Nov 20;21(11):841-848. doi: 10.3779/j.issn.1009-3419.2018.11.06.

[Effect of A High Intensive Preoperative Rehabilitation on the Perioperative 
Complications in Patients with Chronic Obstructive Pulmonary Disease Eligible 
for Lung Cancer Surgery].

Zhongguo fei ai za zhi = Chinese journal of lung cancer

[Article in Chinese]
Shenglan Meng, Fan Yang, Fuqiang Dai, Shuang Chen, Chaoqiong Huang, Qunyou Tan, Huijun Niu

Affiliations

  1. The Third Affiliated Hospital of Army Medical University (Research Institute of Surgery), Chongqing 400042, China.

PMID: 30454546 PMCID: PMC6247008 DOI: 10.3779/j.issn.1009-3419.2018.11.06

Abstract

BACKGROUND: Chronic obstructive pulmonary disease (COPD) will reduce the cardiopulmonary function and increase perioperative risk. The aim of this study is to investigate the effect of preoperative short-term high intensity lung rehabilitation training on lung function and postoperative complications in patients with COPD who are eligible for lung cancer surgery.

METHODS: We analysis of 101 patients with COPD and a diagnosis of lung cancer, with 43 patients in pulmonary rehabilitation group and 58 patients in conventional group. The pulmonary function, postoperative pulmonary complications (PPCs) and length of stay (LOS) will be compared between the two groups, the lung function will be compared before and after the rehabilitation at the same time.

RESULTS: There were no significant difference between the two groups in general information, lung function before surgery, postoperative pulmonary infection [8 (18.6%) vs 17 (29.3%)], atelectasis [1 (2.3%) vs 1 (1.7%)], respiratory failure [1 (2.3%) vs 2 (3.4%)] and postoperative LOS [(8.93±3.78) d vs (9.62±3.98) d, P>0.05]. In the rehabilitation group, the FEV1 [(2.06±0.45) L vs (2.15±0.45) L, P<0.001] and PEF [(4.32±0.90) L/s vs (5.15±1.05) L/s, P<0.001) were higher, and PCO2 [(42.42±2.79) mmHg vs (41.58±2.98) mmHg, P=0.009] was lower after rehabilitation, significantly. The increase value of FEV1 in moderate to severe COPD group was higher than that of the mild COPD group after the rehabilitation [(0.16±0.05) L, 8.6% vs (0.06±0.05) L, 2.8%, P<0.001).

CONCLUSIONS: The short-term highly-intensity lung rehabilitation can improve lung function in lung cancer patients with COPD, and the improvement of pulmonary function in moderate to severe COPD patients is more obviously.

Keywords: COPD; Lung neoplasms; Lung rehabilitation; Pulmonary complications

References

  1. Zhongguo Fei Ai Za Zhi. 2017 Sep 20;20(9):603-609 - PubMed
  2. Arch Phys Med Rehabil. 2013 Jan;94(1):53-8 - PubMed
  3. J Thorac Cardiovasc Surg. 2016 Mar;151(3):717-724.e1 - PubMed
  4. Zhongguo Fei Ai Za Zhi. 2016 Nov 20;19(11):746-753 - PubMed
  5. Eur J Cardiothorac Surg. 2015 May;47(5):e213-9 - PubMed
  6. Asian Cardiovasc Thorac Ann. 2017 Jan;25(1):47-51 - PubMed
  7. Ann Surg Oncol. 2014 Jul;21(7):2353-60 - PubMed
  8. Respir Med. 2015 Apr;109(4):437-42 - PubMed
  9. Eur Respir J. 2016 Aug;48(2):495-503 - PubMed
  10. Am J Respir Crit Care Med. 2017 Mar 1;195(5):557-582 - PubMed
  11. Aging Dis. 2015 Nov 17;6(6):466-77 - PubMed
  12. Integr Cancer Ther. 2017 Mar;16(1):63-73 - PubMed
  13. Eur J Cardiothorac Surg. 2017 Jul 1;52(1):47-54 - PubMed
  14. Eur J Cardiothorac Surg. 2013 Feb;43(2):293-6 - PubMed
  15. Thorax. 2016 May;71(5):474-5 - PubMed
  16. Respir Med. 2015 Dec;109(12):1495-504 - PubMed
  17. J Thorac Dis. 2017 Jun;9(6):1584-1591 - PubMed
  18. Aging Clin Exp Res. 2018 Apr;30(4):331-340 - PubMed
  19. Chest. 2006 May;129(5):1305-12 - PubMed
  20. Clin Rehabil. 2017 Aug;31(8):1057-1067 - PubMed
  21. Eur J Cardiothorac Surg. 2009 Aug;36(2):383-91; discussion 391-2 - PubMed
  22. J Thorac Oncol. 2017 Feb;12(2):323-333 - PubMed

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