Effectiveness of inspiratory muscle training (IMT) on pulmonary function and functional capacity in chronic smoker’s v/s non-smokers patients undergoing open abdominal surgery – A study protocol

Shah Khyati , Sampath Kumar Amaravdi , Stephen Rajan Samuel , Alfred J. Augustine , Vijaypratap Singh
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引用次数: 7

Abstract

Background

Abdominal surgeries are performed for the treatment and diagnosis of many diseases. Smokers undergoing abdominal surgery, are high risk population, having underlying pathological changes in lung parenchyma due to inflammatory effect of smoking. Site of incision and history of smoking may significantly affect pulmonary function such as FVC and FEV1. Respiratory muscle training pre-operatively has shown significant improvement of pulmonary function compare to only conventional therapy and has led to reduction of PPCs, length of hospital stay and cost. This study aims to find effectiveness of IMT in chronic smokers undergoing abdominal surgery and its significance in reduction of PPC and in pulmonary function and functional capacity as compared to non-smokers.

Methodology

This study protocol is observational cohort study comparing smoker and non-smoker participants undergoing abdominal surgery. The participants will be assessed for pulmonary function test and functional capacity (6MWD); pre-operatively and post-operatively day 1 till the day of discharge. Both the groups will receive IMT and conventional chest Physiotherapy from POD1 and increment of IMT will be done by assessing MIP each day.

Dissemination

We plan to publish this review in a peer-reviewed journal. We may also present this review at local and/or national conferences.

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吸气肌训练(IMT)对接受腹部直视手术的慢性吸烟者和非吸烟者肺功能和功能容量的影响——一项研究方案
背景腹部手术是许多疾病的治疗和诊断手段。接受腹部手术的吸烟者是高危人群,由于吸烟的炎症作用,肺实质有潜在的病理改变。切口部位和吸烟史可能显著影响肺功能,如FVC和FEV1。与常规治疗相比,术前呼吸肌训练可显著改善肺功能,并可减少PPCs、住院时间和费用。本研究旨在发现IMT在慢性吸烟者腹部手术中的有效性,以及与非吸烟者相比,IMT在降低PPC、肺功能和功能容量方面的意义。本研究方案是一项观察性队列研究,比较吸烟者和非吸烟者接受腹部手术的参与者。参与者将接受肺功能测试和功能容量(6MWD)评估;术前及术后第1天至出院当天。两组均从POD1开始接受IMT和常规胸部物理治疗,并通过每天评估MIP来增加IMT。我们计划在同行评议的期刊上发表这篇综述。我们也可能在地方和/或国家会议上介绍这篇综述。
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期刊介绍: IJS Protocols is the first peer-reviewed, international, open access journal seeking to publish research protocols across across the full breadth of the surgical field. We are aim to provide rapid submission to decision times whilst maintaining a high quality peer-review process.
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