Study On The Preventive Effect Of Respiratory Function Training Combined With IPC On VTE In Patients With Lung Cancer Surgery

Objective(1)To explore the preventive effect of respiratory function exercise combined with Intermittent Pneumatic Compression(IPC)on Venous Thromboembolism(VTE)in patients with lung cancer surgery;(2)To strengthen the perioperative vein in lung cancer patients Risk management of thromboembolism with a view to reducing the incidence of venous thromboembolism in patients undergoing lung cancer surgery.Methods This study is a kind of experimental research.The research subjects were a total of 169 patients who underwent lung cancer surgery in the thoracic surgery ward of a tertiary cancer hospital from March to November 2019 and regularly reviewed.According to the random number table method,patients were randomly divided into a control group and an intervention group according to the order of admission.Finally,88 patients were included in the control group and 81 patients were included in the intervention group.The control group received routine postoperative nursing measures for lung cancer,and the intervention group used respiratory function training combined with intermittent pneumatic compression interventions based on routine nursing.Collect patient general information,Caprini thrombosis risk score,coagulation function and related indicators,platelet count,deep femoral venous hemodynamics,averagecircumference of both lower extremities,venous thromboembolism and complication rate,postoperative hospital stay and discharge Follow-up indicators.SPSS 24.0 statistical software was used for data entry and analysis,with α = 0.05 as the test level,P value was taken as the two-sided probability,and statistical methods included descriptive statistical analysis,t test and chi-square test.Results(1)Comparison of differences in hospitalization indicators between the two groups of patients: On the first day of hospitalization,there was no significant difference in hospitalization-related indicators between the two groups of patients.On the fifth day after operation,the Caprini risk score,fibrinogen content,platelet count,calf circumference,and thigh circumference of the intervention group were lower than those of the control group.The prothrombin time,maximum venous blood flow velocity,and venous blood flow lumen in the intervention group The maximum inner diameter was higher than that of the control group,and the difference was statistically significant(P<0.05).(2)Comparison of the number of postoperative hospital stays between the two groups of patients: the intervention group(6.26±1.22)days,and the control group patients(9.48±4.23)days,the difference was statistically significant(P <0.05).(3)Comparison of follow-up indicators after discharge from two groups of patients: 1 week after discharge,there was statistically significant difference in breathing difficulties,chest tightness,collapse,etc.,symptoms of lower limb tenderness,self-care ability level,and daily moderate-intensity activity duration in both groups(P<0.05).One month after discharge,there were statistically significant differences in the number of VTE events,dyspnea,chest tightness,collapse,etc.,acute pain,superficial varicose veins,swelling of the lower limbs,the level of self-care ability,and the duration of daily moderate-intensity activities in the two groups(P<0.05).Conclusions(1)Intervention measures of respiratory function training combined with intermittent pneumatic compression can reduce the risk of venous thromboembolism during hospitalization of patients with lung cancer surgery.(2)Intervention of respiratory function training combined with intermittent pneumatic compression may shorten the number of hospital stays for patients undergoing lung cancer surgery.(3)Intervention of respiratory function training combined with intermittent pneumatic compression can help reduce the occurrence of chest discomfort after discharge from lung cancer surgery patients,and reduce the incidence and risk of venous thromboembolism.