Application of electrophysiological appropriate techniques in rapid rehabilitation of patients with spon-taneous pneumothorax after video assisted thoracoscopic surgery

LAI Qixun; LIAO Kaifu; LIU Jianping; YAN Jie

Abstract：Objective:To analyze the application effect of electrophysiological appropriate techniques in rapid recov-ery of patients with spontaneous pneumothorax(SP)after video assisted thoracoscopic surgery(VATS).Methods:This study aims to design a prospective randomized controlled trial.The study subjects were confirmed as spontaneous pneumothorax patients admitted to the thoracic surgery department of our hospital from January 2022 to August 2023.Using a random number table method,80 patients were randomly divided into an observation group and a control group,with 40 patients in each group.Both groups received VATS treatment,while the control group received routine management after surgery.The observation group received treatment using appropriate electrophysiological techniques and low-frequency electrical stimulation on this basis.The recovery time(anal exsufflation time,extubation time,hos-pitalization time),pulmonary function[forced vital capacity(FVC),forced expiratory volume in one second(FEV1),maximal ventilation volume(MVV),oxygenation volume(SpO2)],pain score(Prince-Henry score),and complica-tions were compared between the two groups.Results:The time of anal exsufflation,extubation and hospitalization in the observation group were shorter than those in the control group(P＜0.05),and the pulmonary function indexes(FVC,FEV1,MVV,SpO2)in the observation group were higher than those in the control group(P＜0.05).The Prince-Henry score of the observation group was lower than that of the control group(P＜0.05),and the complication rate of the observation group(5.00%)was lower than that of the control group(12.50%),there was no significant difference(P＞0.05).Conclusion:The application of electrophysiological techniques in SP patients after VATS surgery is benefi-cial for shortening the time for anal discharge,drainage tube removal,and hospitalization,promoting lung function re-covery,alleviating pain symptoms during breathing and coughing,and not increasing the risk of complications.