Effect of Liuzijue Exercise on Pulmonary lung rehabilitation in patients after esophageal cancer surgery
六字诀锻炼对食管癌术后患者肺康复效果的影响

摘要

目的 探讨“六字诀”锻炼对食管癌术后患者肺功能恢复、并发症预防及生活质量改善的影响。方法 选取2023年1月—2024年12月于我院行食管癌根治术的76例患者为研究对象，分为对照组和观察组。对照组给予食管癌术后常规护理及基础呼吸康复指导，观察组在对照组基础上增加六字诀锻炼干预，两组均持续干预至术后4周。比较两组术前及术后4周的肺功能指标、术后并发症发生率及6min步行距离。结果 术后4周观察组FVC、FEV1及FEV1/FVC均优于对照组（P<0.05）；术后肺部并发症发生率为13.16%，观察组发生率低于对照组（P<0.05）；出院时干预组6min步行距离结果优于对照组（P<0.05）。结论 “六字诀”锻炼可改善食管癌术后患者肺功能，降低肺部并发症风险，促进早期活动能力恢复。

Abstract

Objective To explore the effect of "Liuzijue" exercise on the recovery of lung function, prevention of complications and improvement of quality of life in patients after esophageal cancer surgery.
Methods A total of 76 patients who underwent radical resection of esophageal cancer in our hospital from January 2023 to December 2024 were selected as the research objects and divided into a control group and an observation group. The control group was given routine nursing after esophageal cancer surgery and basic respiratory rehabilitation guidance, while the observation group was given additional Liuzijue exercise intervention on the basis of the control group. Both groups continued the intervention until 4 weeks after surgery. The lung function indexes, incidence of postoperative complications and 6-minute walking distance were compared between the two groups before surgery and 4 weeks after surgery.
Results At 4 weeks after surgery, FVC, FEV1 and FEV1/FVC in the observation group were better than those in the control group (P<0.05); the incidence of postoperative pulmonary complications was 13.16%, and the incidence in the observation group was lower than that in the control group (P<0.05); the 6-minute walking distance in the intervention group was better than that in the control group at discharge (P<0.05).
Conclusion   "Liuzijue" exercise can improve the lung function of patients after esophageal cancer surgery, reduce the risk of pulmonary complications, and promote the recovery of early activity ability.