目的 探讨胸腔镜肺叶切除肺癌患者呼吸训练方案的应用效果。 方法 2022年6-7月，便利抽样选取于上海市某三级甲等专科医院行胸腔镜肺叶切除术的非小细胞肺癌患者107例，按照整群随机分组，其中观察组53例给予胸腔镜肺叶切除肺癌患者呼吸训练方案，对照组54例给予常规呼吸训练方案，比较两组患者的术后住院时间、胸腔引流管带管时间、并发症发生率、舒适度及生活质量。 结果 观察组患者的术后住院时间和胸腔引流管带管时间短于于对照组（均P＜0.05），术后48 h舒适度高于对照组（均P＜0.05），出院时躯体疼痛和生命力维度的生活质量优于对照组（均P＜0.05）。结论 胸腔镜肺叶切除肺癌患者呼吸训练方案能够促进患者康复，提高患者舒适度和生活质量。

Objective To explore the application effect of respiratory training program for lung cancer patients with thoracoscopic lobectomy.Methods From June to July 2022,107 patients from the Department of Thoracic Surgery in a tertiary A specialized hospital in Shanghai who were diagnosed with lung cancer and to undergo thoracoscopic lobectomy were selected by the convience sampling method and randomly grouped according to the whole group.Patients in Ward I were given the thoracoscopic lobectomy respiratory training program for lung cancer patients as the observation group,and patients in Ward II were given the routine respiratory training program as the control group.The length of hospital stay,postoperative stay,time of thoracic drainage tube,incidence of complications,comfort level and quality of life were compared between the two groups.Results The length of hospital stay and the length of thoracic drainage tube in the observation group were less than those in the control group (all P＜0.05).48 hours postoperative comfort was higher than that of control group(all P＜0.05).The quality of life in terms of physical pain and vitality at discharge was better than that of control group (all P＜0.05).Conclusions The respiratory training program for thoracoscopic lobectomy patients with lung cancer can improve the rehabilitation,comfort and quality of life of patients.

R473.56

上海市肺科医院青年骨干人才库（HL-C2）