Aim: To investigate the changes of pulmonary function and quality of life (QOL) of patients after pneumonectomy, and to discuss the effect of rehabiliation training on pulmonary function and QOL of patients after pneumonectomy. Methods: Sixty patients with pneumonectomy were randomly divided into rehabilitation group and control group, with 30 in each group. Rehabilitation group was treated with routine treatments plus systematic rehabilitation training, while control group only used routine treatments. After 1-year follow-up, the changes in pulmonary function and QOL of the two groups were compared at 3 months before operation, and 3, 6, 12 months after operation. Results: Pulmonary function was declined 3 months after operation. QOL had no changed. There was no significant difference between the two groups (F = 1.395 - 1.705, P > 0.05). Pulmonary function of rehabilitation group was recovered to the normal level 6 months after operation, while only recovered to 80% of the normal level in the control group. Pulmonary function and QOL had significant difference between the two groups(F = 3.901 - 4.415, P < 0.05). Twelve months after operation, pulmonary function of the two groups was recovered to the preoperative level, and 20% of the patients in the rehabilitation group recovered normal level. There were significant difference between the two groups(F = 3.958 - 4.171, P < 0.05). QOL of the two groups was markedly enhanced, which was better in the rehabilitation group (F = 11.354, P < 0.01). Conclusion: Improvement in pulmonary function and QOL of patients after pneumonectomy is directly related with stabilization of illness, which was beth better rehabilitation training can improve the reconstruction of pulmonary function and enhance the QOL of patients.

Aim: To observe the effect of rehabilitative treatment of pulmonary surgery on pulmonary postoperative complication, pulmonary function and the courses in elder patients with pulmonary insufficiency. Methods: Seventy-eight patients were randomly divided into rehabilitation group(n = 40) and control group(n = 38). The patients in the control group received routine treatment, besides, patients in the rehabilitation group received pulmonary function exercise, including the treatment of breath, cough, posture therapy and joint movement exercises. The pulmonary postoperative complications, indices of pulmonary function and duration of hospitalization were recorded and compared. Results: There were significant differences in the incidence rate of pulmonary postoperative complication between the rehabilitation group (20%) and the control group(63%) (X2 = 15.00, P < 0.001). The pulmonary function indices(FEV, FVC, PEF) at the 6th day were significantly different between the two groups(t = 3.14, 3.23, 4.01, P < 0.01). The duration of hospitalization of the rehabilitation group[ (12.1 ± 4.3) d] was significantly different from that of the control group[ (20.4 ± 6.4) d], (t = 2.56, P < 0.05). Conclusion: Rehabilitative treatment can reduce the pulmonary postoperative complication, improve pulmonary function in elder patients with pulmonary insufficiency, and promote their recovery.

Aim: To explore the effect of rehabilitation therapy on patients with heart valve replacement. Methods: A total of 104 patients were randomly divided into rehabilitation group and control group. The patients in the control group received routine treatment, and rehabilitation group received rehabilitative therapy on the basis of routine treatment, including training of breathing, cough, motion of joint training, myodynamic training, and endurance training. postoperative incidence of pulmonary complication, duration of hospitalization and body activity energy level were compared between the two groups. Results: The postoperative incidence of pulmonary complication in rehabilitation group was 8% and 24% in control group (X2 = 4.60, P < 0.05); the duration of hospitalization in rehabilitation group was(17.8 ± 4.5) d, and that in control group was (26.2 ± 7.2) d, (t = 2.12, P < 0.05); The body activity energy level before discharge in rehabilitation group was(4.98 ± 0.41) METs, and that in control group was (4.21 ± 0.53) METs, (t = 2.25, P < 0.05); 3 months after discharge, that in rehabilitation group was (8.67 ± 0.74) METs, control group was (6.86 ± 0.63) METs, (t = 2.81, P < 0.01). The differences were significant. Conclusion: Rehabilitation treatment is important in decreasing incidence of postoperative pulmonary complication, shortening duration of hospitalization and improving quality of life.

Aim: To investigate evaluation on the quality of life (QOL) and influencing factors in patients with esophageal cancer and cardiac cancer after surgical treatment. Methods: Questionnaire of follow-up study was performed on the QOL of patients with esophageal cancer and cardiac cancer after surgical treatment who survived over 5 years postoperatively. Results: There was significant difference between the patients satisfied with their QOL 1 year after treatment(42.7%) and the patients satisfied with their QOL 5 years after treatment(79.9%) (u = 2.11, P < 0.05), and between the patients without long-term complications in digestive tract (88%) and the patients with long-term complication in digestive tract (6.3%) (X2 = 6.98, P < 0.01) and between the patients who had well mental status(91%) and the patients who had bad mental status(14%) (X2 =7.31, P <0.01). Conclusion: The postoperative mental status and the occurrence of long-term complications in digestive tract of patients play an important role in the QOL of patients.