PDF(Pubmed)
Abstract：
UNASSIGNED: Postoperative recovery in lung cancer patients is a complex process, where breathing exercises may play a crucial role in enhancing pulmonary function and quality of life (QoL). This study systematically reviews and meta-analyzes the impact of breathing exercises on post-surgical lung function and QoL in lung cancer patients.
UNASSIGNED: An extensive literature search was conducted across PubMed, Cochrane, Web of Science, and Embase databases using terms like \"Lung Neoplasms\", \"breathing exercises\", and \"randomized controlled trial\", supplemented by Medical Subject Headings (MeSH) and free words. The Cochrane risk of bias tool was used for quality assessment. A systematic review and meta-analysis on the effects of breathing exercises post-lung cancer surgery followed by data extraction and quality evaluation.
UNASSIGNED: From 384 retrieved studies, 10 met the inclusion criteria and were selected for detailed analysis. The main outcomes assessed were postoperative pulmonary function indices and QoL measures. The majority of studies were deemed \'low risk\' for random sequence generation and allocation concealment. However, due to the nature of the interventions, blinding was a \'high risk\' in most cases. The meta-analysis revealed significant improvements in key pulmonary function indices: forced vital capacity (FVC%) increased by an average of 1.73%, maximal voluntary ventilation (MVV) improved by 7.58 L/min, and maximal inspiratory pressure (MIP) enhanced by 0.95 cmH2O. Additionally, there was a notable alleviation of postoperative dyspnea and an enhancement in QoL, with anxiety scores decreasing by an average of 3.42 points and complication rates reducing correspondingly. However, the interventions did not significantly affect physical activity levels or performance on the 6-minute walk test (6WMT), with effect sizes for these outcomes being non-significant.
UNASSIGNED: This study indicates that breathing exercises significantly improve postoperative pulmonary function and QoL in lung cancer patients. Future research should delve into the mechanisms behind these exercises and evaluate their long-term rehabilitation effects. Customized programs could further optimize recovery and enhance patient QoL.
UNASSIGNED: An extensive literature search was conducted across PubMed, Cochrane, Web of Science, and Embase databases using terms like \"Lung Neoplasms\", \"breathing exercises\", and \"randomized controlled trial\", supplemented by Medical Subject Headings (MeSH) and free words. The Cochrane risk of bias tool was used for quality assessment. A systematic review and meta-analysis on the effects of breathing exercises post-lung cancer surgery followed by data extraction and quality evaluation.
UNASSIGNED: From 384 retrieved studies, 10 met the inclusion criteria and were selected for detailed analysis. The main outcomes assessed were postoperative pulmonary function indices and QoL measures. The majority of studies were deemed \'low risk\' for random sequence generation and allocation concealment. However, due to the nature of the interventions, blinding was a \'high risk\' in most cases. The meta-analysis revealed significant improvements in key pulmonary function indices: forced vital capacity (FVC%) increased by an average of 1.73%, maximal voluntary ventilation (MVV) improved by 7.58 L/min, and maximal inspiratory pressure (MIP) enhanced by 0.95 cmH2O. Additionally, there was a notable alleviation of postoperative dyspnea and an enhancement in QoL, with anxiety scores decreasing by an average of 3.42 points and complication rates reducing correspondingly. However, the interventions did not significantly affect physical activity levels or performance on the 6-minute walk test (6WMT), with effect sizes for these outcomes being non-significant.
UNASSIGNED: This study indicates that breathing exercises significantly improve postoperative pulmonary function and QoL in lung cancer patients. Future research should delve into the mechanisms behind these exercises and evaluate their long-term rehabilitation effects. Customized programs could further optimize recovery and enhance patient QoL.
摘要：
■肺癌患者的术后恢复是一个复杂的过程，其中呼吸练习可能在提高肺功能和生活质量（QoL）方面发挥关键作用。本研究系统回顾和荟萃分析了呼吸锻炼对肺癌患者术后肺功能和生活质量的影响。
■在PubMed进行了广泛的文献检索，科克伦,WebofScience,和使用“肺肿瘤”等术语的Embase数据库，“呼吸练习”，和“随机对照试验”，辅以医学主题词（MeSH）和自由词。使用Cochrane偏倚风险工具进行质量评估。对肺癌手术后呼吸锻炼的影响进行系统评价和荟萃分析，然后进行数据提取和质量评估。
■从384项检索的研究中，10名符合纳入标准，并被选中进行详细分析。评估的主要结果是术后肺功能指标和QoL指标。大多数研究被认为是随机序列生成和分配隐藏的“低风险”。然而,由于干预的性质，在大多数情况下，致盲是“高风险”。荟萃分析显示，关键肺功能指标显着改善：用力肺活量（FVC％）平均增加1.73％，最大自主通气量（MVV）提高了7.58L/min，最大吸气压力（MIP）提高了0.95cmH2O。此外,术后呼吸困难明显减轻，QoL增强，焦虑评分平均降低3.42分，并发症发生率相应降低。然而,干预措施对6分钟步行测试（6WMT）的身体活动水平或表现没有显着影响，这些结果的效应大小不显著。
■这项研究表明，呼吸锻炼可以显着改善肺癌患者的术后肺功能和QoL。未来的研究应该深入研究这些运动背后的机制，并评估其长期康复效果。定制程序可以进一步优化恢复并提高患者QoL。
■在PubMed进行了广泛的文献检索，科克伦,WebofScience,和使用“肺肿瘤”等术语的Embase数据库，“呼吸练习”，和“随机对照试验”，辅以医学主题词（MeSH）和自由词。使用Cochrane偏倚风险工具进行质量评估。对肺癌手术后呼吸锻炼的影响进行系统评价和荟萃分析，然后进行数据提取和质量评估。
■从384项检索的研究中，10名符合纳入标准，并被选中进行详细分析。评估的主要结果是术后肺功能指标和QoL指标。大多数研究被认为是随机序列生成和分配隐藏的“低风险”。然而,由于干预的性质，在大多数情况下，致盲是“高风险”。荟萃分析显示，关键肺功能指标显着改善：用力肺活量（FVC％）平均增加1.73％，最大自主通气量（MVV）提高了7.58L/min，最大吸气压力（MIP）提高了0.95cmH2O。此外,术后呼吸困难明显减轻，QoL增强，焦虑评分平均降低3.42分，并发症发生率相应降低。然而,干预措施对6分钟步行测试（6WMT）的身体活动水平或表现没有显着影响，这些结果的效应大小不显著。
■这项研究表明，呼吸锻炼可以显着改善肺癌患者的术后肺功能和QoL。未来的研究应该深入研究这些运动背后的机制，并评估其长期康复效果。定制程序可以进一步优化恢复并提高患者QoL。
