Effect of High-frequency Chest Wall Oscillatory on Lung Function in Patient 
After Single Port Video-assisted Thoracoscopic Surgery Lobectomy

Background and objective It has been confirmed that high-frequency chest wall oscillatory (HFCWO) is a new type of auxiliary sputum discharge device. However, up to now, the specific therapeutic effect of HFCWO is still uncertain. This study aimed to compare the changes of the sputum volume before a...

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Main Authors: Xuejuan ZHU, Yuanjun CHENG, Wentao YANG, Yongbing CHEN, Li SHI
Format: Article
Language:zho
Published: Chinese Anti-Cancer Association; Chinese Antituberculosis Association 2018-12-01
Series:Chinese Journal of Lung Cancer
Subjects:
Online Access:http://dx.doi.org/10.3779/j.issn.1009-3419.2018.12.05
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author Xuejuan ZHU
Yuanjun CHENG
Wentao YANG
Yongbing CHEN
Li SHI
author_facet Xuejuan ZHU
Yuanjun CHENG
Wentao YANG
Yongbing CHEN
Li SHI
author_sort Xuejuan ZHU
collection DOAJ
description Background and objective It has been confirmed that high-frequency chest wall oscillatory (HFCWO) is a new type of auxiliary sputum discharge device. However, up to now, the specific therapeutic effect of HFCWO is still uncertain. This study aimed to compare the changes of the sputum volume before and after the treatment of HFCWO, and to investigate the effect of HFCWO on lung function and arterial blood gas analysis after single port video-assisted thoracoscopic surgery lobectomy (S-VATS). Methods A total of 90 patients with S-VATS lobectomy were collected in the Second Affiliated Hospital of Soochow University from January 2017 to December 2017, which were randomly divided into the experimental group with HFCWO (n=45) and the control group (n=45) with routine clapping, respectively. The sputum volume of the two groups was measured 5 days before operation. Lung function and arterial blood gas analysis was measured before and 7th days after surgery. Results The sputum volume was higher in the experimental group than that of the control group after surgery, there was statistically significant difference for the first three days (P<0.05). There was no statistically significant difference between the two groups in forced expiratory volume in one second (FEV1), forced vital capacity (FVC) and oxygen partial pressure (PaO2) before surgery (P>0.05); Compared with those before surgery, FEV1, FVC and PaO2 decreased in both groups after surgery (P<0.05); However, FEV1, FVC and PaO2 in the experimental group were higher than those in the control group (P<0.05); There was no statistically significant difference in preoperative and postoperative partial pressure of carbon dioxide (PaCO2) between the two groups (P>0.05). Conclusion HFCWO can significantly increase the amount of sputum excretion, improve lung function and alleviate hypoxia status after S-VATS lobectomy. This study provides a promising approach for HFCWO toward hypoxia status after S-VATS lobectomy.
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spelling doaj.art-b3fbacf03ac54b44b8251257cb43e8652022-12-21T17:32:08ZzhoChinese Anti-Cancer Association; Chinese Antituberculosis AssociationChinese Journal of Lung Cancer1009-34191999-61872018-12-01211288588910.3779/j.issn.1009-3419.2018.12.05Effect of High-frequency Chest Wall Oscillatory on Lung Function in Patient 
After Single Port Video-assisted Thoracoscopic Surgery LobectomyXuejuan ZHU0Yuanjun CHENG1Wentao YANG2Yongbing CHEN3Li SHI4Department of Cardiothoracic Surgery, the Second Hospital Affiliated to Soochow University, Suzhou 215004, ChinaDepartment of Cardiothoracic Surgery, the Second Hospital Affiliated to Soochow University, Suzhou 215004, ChinaDepartment of Cardiothoracic Surgery, the Second Hospital Affiliated to Soochow University, Suzhou 215004, ChinaDepartment of Cardiothoracic Surgery, the Second Hospital Affiliated to Soochow University, Suzhou 215004, ChinaDepartment of Cardiothoracic Surgery, the Second Hospital Affiliated to Soochow University, Suzhou 215004, ChinaBackground and objective It has been confirmed that high-frequency chest wall oscillatory (HFCWO) is a new type of auxiliary sputum discharge device. However, up to now, the specific therapeutic effect of HFCWO is still uncertain. This study aimed to compare the changes of the sputum volume before and after the treatment of HFCWO, and to investigate the effect of HFCWO on lung function and arterial blood gas analysis after single port video-assisted thoracoscopic surgery lobectomy (S-VATS). Methods A total of 90 patients with S-VATS lobectomy were collected in the Second Affiliated Hospital of Soochow University from January 2017 to December 2017, which were randomly divided into the experimental group with HFCWO (n=45) and the control group (n=45) with routine clapping, respectively. The sputum volume of the two groups was measured 5 days before operation. Lung function and arterial blood gas analysis was measured before and 7th days after surgery. Results The sputum volume was higher in the experimental group than that of the control group after surgery, there was statistically significant difference for the first three days (P<0.05). There was no statistically significant difference between the two groups in forced expiratory volume in one second (FEV1), forced vital capacity (FVC) and oxygen partial pressure (PaO2) before surgery (P>0.05); Compared with those before surgery, FEV1, FVC and PaO2 decreased in both groups after surgery (P<0.05); However, FEV1, FVC and PaO2 in the experimental group were higher than those in the control group (P<0.05); There was no statistically significant difference in preoperative and postoperative partial pressure of carbon dioxide (PaCO2) between the two groups (P>0.05). Conclusion HFCWO can significantly increase the amount of sputum excretion, improve lung function and alleviate hypoxia status after S-VATS lobectomy. This study provides a promising approach for HFCWO toward hypoxia status after S-VATS lobectomy.http://dx.doi.org/10.3779/j.issn.1009-3419.2018.12.05Single portVideo-assisted thoracoscopic surgeryHigh-frequency chest wall oscillatoryLung function
spellingShingle Xuejuan ZHU
Yuanjun CHENG
Wentao YANG
Yongbing CHEN
Li SHI
Effect of High-frequency Chest Wall Oscillatory on Lung Function in Patient 
After Single Port Video-assisted Thoracoscopic Surgery Lobectomy
Chinese Journal of Lung Cancer
Single port
Video-assisted thoracoscopic surgery
High-frequency chest wall oscillatory
Lung function
title Effect of High-frequency Chest Wall Oscillatory on Lung Function in Patient 
After Single Port Video-assisted Thoracoscopic Surgery Lobectomy
title_full Effect of High-frequency Chest Wall Oscillatory on Lung Function in Patient 
After Single Port Video-assisted Thoracoscopic Surgery Lobectomy
title_fullStr Effect of High-frequency Chest Wall Oscillatory on Lung Function in Patient 
After Single Port Video-assisted Thoracoscopic Surgery Lobectomy
title_full_unstemmed Effect of High-frequency Chest Wall Oscillatory on Lung Function in Patient 
After Single Port Video-assisted Thoracoscopic Surgery Lobectomy
title_short Effect of High-frequency Chest Wall Oscillatory on Lung Function in Patient 
After Single Port Video-assisted Thoracoscopic Surgery Lobectomy
title_sort effect of high frequency chest wall oscillatory on lung function in patient 
after single port video assisted thoracoscopic surgery lobectomy
topic Single port
Video-assisted thoracoscopic surgery
High-frequency chest wall oscillatory
Lung function
url http://dx.doi.org/10.3779/j.issn.1009-3419.2018.12.05
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