ANALYSIS OF THE EFFECT OF ACAPELLA IN THE RAPID REHABILITATION OF THORACOSCOPIC LUNG CANCER

ZHIYIN ZHOU, BENYING ZHAO, MINGYUAN ZHA, XIAOYONG MENG

Changshu Hospital Affiliated to Soochow University, First People's Hospital of Changshu City, Changshu 215500, Jiangsu Province, China

Introduction: rapid recovery of lung cancer patients after thoracoscopic surgery, and to summarize the application experience.

Methods: A total of 100 lung cancer patients admitted to the Thoracic Surgery Department for thoracoscopic surgery from May 2016 to March 2018 in Changshu No.1 People’s Hospital were enrolled in the study. Patients were randomized into observation group and control group, each with 50 cases. Both groups received routine perioperative management of lung surgery, including strict smoking cessation, guidance for effective coughing, breathing training, posture change in bed, etc. The patients were patted on the back for sputum excretion, and received aerosol inhalation to promote expectoration. The observation group was given Acapella expectoration training on the first postoperative day. The amount of expectoration, white blood cell count, extubation time, postope- rative hospital stay of the two groups were recorded on first day and the third day after operation and before discharge. The role of Acapella in postoperative recovery of lung cancer patients with thoracoscopic surgery was discussed.

Results: The time of chest tube removal and length of hospital stay were shorter in the observation group than the control group, and there was statistical significance. Comparison of expectoration amount between the observation group and the control group before the operation and on the first postoperative day was not statistically different. The expectoration amount was higher in the observation group on the third postoperative day and before discharge, with statistical significance. The white blood cell count was higher in the observation group than the control group before operation, but there was no statistical significance. The white blood cell count was lower in the observation group on the first and third postoperative day, but there was no statistical significance. The white blood cell count was lower in the observation group, with statistical significance.

Conclusion: Acapella can promote early excretion of sputum, shorten the removal time of chest tube and the length of hospital stay after thoracoscopic surgery, which has positive significance for patients’ rapid postoperative recovery and is thus worthy of our promotion.