A study on the efficacy of multimodal respiratory training interventions in promoting recovery for patients undergoing thoracoscopic pulmonary nodule surgery
多模式呼吸训练干预措施对促进胸腔镜肺结节手术患者康复效果的研究

摘要

目的 分析基于循证医学理念构建的多模式呼吸训练干预方案，对胸腔镜肺结节切除术患者术后肺通气、氧合状态、并发症及整体康复进程的影响。方法 选取我院2025年2月至2025年9月期间行胸腔镜肺结节手术的患者120例，采用随机数字表法分为干预组与对照组。结果 干预组术后动脉血氧分压与氧合指数显著优于对照组，且干预组术后肺部并发症发生率显著低于对照组，干预组的胸腔引流管留置时间和术后住院天数均短于对照组（P<0.05）。结论 多模式呼吸训练能有效改善胸腔镜肺结节手术患者的术后氧合状态，降低术后并发症风险，加速术后康复，优化临床路径结局。

Abstract

Objective To analyze the effects of multimodal respiratory training intervention program based on evidence-based medicine on pulmonary ventilation, oxygenation status, complications and overall rehabilitation process in patients after thoracoscopic pulmonary nodule resection.
Methods A total of 120 patients who underwent thoracoscopic pulmonary nodule surgery in our hospital from February 2025 to September 2025 were selected and randomly divided into an intervention group and a control group using a random number table.
Results The arterial partial pressure of oxygen and oxygenation index in the intervention group were significantly better than those in the control group. The incidence of postoperative pulmonary complications in the intervention group was significantly lower than that in the control group. Additionally, the chest tube drainage duration and postoperative hospitalization days in the intervention group were shorter than those in the control group (P<0.05).
Conclusion   Multimodal breathing training can effectively improve the postoperative oxygenation status of patients with pulmonary nodules undergoing thoracoscopic surgery, reduce the risk of postoperative complications, accelerate postoperative recovery, and optimize the clinical pathway outcome.