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Research ArticleOriginal Research

Evaluation of Recovery Efficacy of Inspiratory Muscle Training After Lobectomy Based on Computed Tomography 3D Reconstruction

Ting Wang, Fanfan Li, Xiaolan Wang, Tingrui Sang, Min Wang, Xiaoli Ma, Juan Bao, Guojing Ma, Panpan Wang, Qin Yue, Dan Zhao and Minjie Ma
Respiratory Care August 2023, respcare.11037; DOI: https://doi.org/10.4187/respcare.11037
Ting Wang
Department of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, People's Republic of China.
School of Nursing, Gansu University of Chinese Medicine, Lanzhou, People’s Republic of China.
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Fanfan Li
Department of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, People's Republic of China.
School of Nursing, Gansu University of Chinese Medicine, Lanzhou, People’s Republic of China.
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Xiaolan Wang
Department of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, People's Republic of China.
School of Nursing, Gansu University of Chinese Medicine, Lanzhou, People’s Republic of China.
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Tingrui Sang
Department of Orthopedics, Baoji Hospital of Traditional Chinese Medicine, Baoji, People’s Republic of China.
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Min Wang
Department of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, People's Republic of China.
School of Nursing, Gansu University of Chinese Medicine, Lanzhou, People’s Republic of China.
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Xiaoli Ma
Department of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, People's Republic of China.
School of Nursing, Gansu University of Chinese Medicine, Lanzhou, People’s Republic of China.
The First Clinical Medical College of Lanzhou University, Lanzhou, People's Republic of China.
Medical Quality Control Center of Thoracic Surgery in Gansu Province, Lanzhou, People's Republic of China.
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Juan Bao
Ningxia Medical University, Yinchuan, People’s Republic of China.
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Guojing Ma
Department of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, People's Republic of China.
School of Nursing, Gansu University of Chinese Medicine, Lanzhou, People’s Republic of China.
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Panpan Wang
Department of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, People's Republic of China.
School of Nursing, Gansu University of Chinese Medicine, Lanzhou, People’s Republic of China.
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Qin Yue
Department of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, People's Republic of China.
School of Nursing, Gansu University of Chinese Medicine, Lanzhou, People’s Republic of China.
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Dan Zhao
Department of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, People's Republic of China.
School of Nursing, Gansu University of Chinese Medicine, Lanzhou, People’s Republic of China.
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Minjie Ma
Department of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, People's Republic of China.
School of Nursing, Gansu University of Chinese Medicine, Lanzhou, People’s Republic of China.
The First Clinical Medical College of Lanzhou University, Lanzhou, People's Republic of China.
Key Technology Development and Application of Thoracic Surgery Specialty Gansu Province International Science and Technology Cooperation Base, Lanzhou, People's Republic of China.
Medical Quality Control Center of Thoracic Surgery in Gansu Province, Lanzhou, People's Republic of China.
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  • For correspondence: [email protected]
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Abstract

BACKGROUND: Progressive resistance inspiratory muscle training is the principle of inspiratory air-flow resistance loading training to restore diaphragm function, increase alveolar compliance, and further improve respiratory function. However, there is a lack of research on the effectiveness of progressive resistance inspiratory training in post-lobectomy rehabilitation and the accurate assessment of lung volumes.

METHODS: In this study, 79 subjects diagnosed with lung cancer and undergoing thoracoscopic lobectomy were retrospectively analyzed. The subjects were divided into a control group (n = 40) and an observation group (n =39) according to the different training modalities. The control group received conventional respiratory training. The observation group received progressive resistance inspiratory muscle training based on conventional breathing training. The primary outcome indicators were the following: lung function and lung volume. The secondary outcome indicators were the following: the number of postoperative hospital days, duration of drain retention, and incidence of postoperative pulmonary complications.

RESULTS: Baseline data on age, sex, body mass index, smoking history, education level, underlying disease, type of pathology, lung cancer stages, surgical site, preoperative lung volume, and preoperative lung function were not statistically different between the 2 groups (P > .05). The subjects in the observation group had median (interquartile range [IQR]) lung volumes at 1 month after surgery (3.22 [3.12–3.37] L vs 3.14 [2.95–3.24] L; P = .031), median (IQR) FEV1 (2.11 [1.96–2.21] L vs 2.01 [1.81–2.12] L; P = .031), and mean ± SD peak expiratory flow (5.07 ± 0.62 L/s vs 4.66 ± 0.64 L/s; P = .005) were higher than those in the control group. The median (IQR) postoperative hospital stays (5 [4–5] d vs 5 [4–6] d; P = .030) and the median (IQR) chest drain retention times were shorter in the observation group versus the control group (74 [72–96] h vs 96 [84–96] h; P = .02). There was no significant difference in the incidence of postoperative atelectasis (5.1% vs 10.0%; P = .41) and pneumonia (7.7% vs 12.5%; P = .48).

CONCLUSIONS: Progressive resistance inspiratory muscle training was effective in improving lung volume and lung function, and in reducing the length of hospital stay and chest drain closure time after lobectomy.

  • Thoracoscopic lobectomy
  • inspiratory muscle training
  • lung function
  • lung volume

Footnotes

  • Correspondence: Minjie Ma PhD, Department of Thoracic Surgery, The First Hospital of Lanzhou University, Donggang West Road, Chengguan District, Lanzhou, Gansu 730000. E-mail: maminjie24{at}sina.com
  • Copyright © 2023 by Daedalus Enterprises

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Respiratory Care: 68 (10)
Respiratory Care
Vol. 68, Issue 10
1 Oct 2023
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Evaluation of Recovery Efficacy of Inspiratory Muscle Training After Lobectomy Based on Computed Tomography 3D Reconstruction
Ting Wang, Fanfan Li, Xiaolan Wang, Tingrui Sang, Min Wang, Xiaoli Ma, Juan Bao, Guojing Ma, Panpan Wang, Qin Yue, Dan Zhao, Minjie Ma
Respiratory Care Aug 2023, respcare.11037; DOI: 10.4187/respcare.11037

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Evaluation of Recovery Efficacy of Inspiratory Muscle Training After Lobectomy Based on Computed Tomography 3D Reconstruction
Ting Wang, Fanfan Li, Xiaolan Wang, Tingrui Sang, Min Wang, Xiaoli Ma, Juan Bao, Guojing Ma, Panpan Wang, Qin Yue, Dan Zhao, Minjie Ma
Respiratory Care Aug 2023, respcare.11037; DOI: 10.4187/respcare.11037
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Keywords

  • Thoracoscopic lobectomy
  • inspiratory muscle training
  • lung function
  • lung volume

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