Analysis of factors related to chronic cough after lung cancer surgery.

Autor: Xie MR; Department of Thoracic Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China., Zhu YF; Graduate School of Anhui University of Chinese Medicine, Hefei, China.; Department of Oncology, The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, China., Zhou MQ; Bozhou Research Institute of Chinese Medicine, Anhui Academy of Chinese Medicine, Bozhou, China.; Research Institute of Acupuncture and Meridian, Anhui Academy of Chinese Medicine, Hefei, China., Wu SB; Research Institute of Acupuncture and Meridian, Anhui Academy of Chinese Medicine, Hefei, China., Xu GW; Department of Thoracic Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China., Xu SB; Department of Thoracic Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China., Xu MQ; Department of Thoracic Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.
Jazyk: angličtina
Zdroj: Thoracic cancer [Thorac Cancer] 2019 Apr; Vol. 10 (4), pp. 898-903. Date of Electronic Publication: 2019 Mar 15.
DOI: 10.1111/1759-7714.13021
Abstrakt: Background: In this study, we investigated the relationship between chronic cough and clinicopathological features in postoperative patients with non-small cell lung cancer (NSCLC) and evaluated the effectiveness of acupuncture therapy for the treatment of postoperative chronic cough in patients with NSCLC.
Methods: We retrospectively evaluated 171 patients with NSCLC who received lobectomy at our center between September 2017 and February 2018. The Mandarin Chinese version of the Leicester Cough Questionnaire (LCQ-MC) was used to evaluate the degree of cough in patients. Postoperative cough was assessed by a visual analog scale (VAS).
Results: The total LCQ-MC score for the whole group was 19.79 ± 0.53 before surgery and 18.40 ± 0.70 after surgery (p < 0.001). Logistic regression analysis showed that right lung cancer, difficult airway, acute cough and history of COPD were independent predictors of chronic cough. Of the 68 patients diagnosed with chronic cough, 41 received acupuncture therapy (acupuncture therapy group), and 27 received no acupuncture therapy (no therapy group). No significant difference was found between the two groups in terms of their LCQ-MC scores at eight weeks after surgery (p = 0.756). However, the acupuncture therapy group had a significantly higher LCQ-MC score than the no therapy group at 10 weeks after surgery (p = 0.002).
Conclusions: Right lung cancer, difficult airway, acute cough, and history of COPD are independent predictors of chronic cough after surgery. For patients with chronic cough, acupuncture therapy can shorten the recovery time and improve quality of life after surgery.
(© 2019 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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