Background: Patients with pulmonary nodules are treated by minimally invasive surgery, and postoperative symptoms have become the main factors affecting patients' emotion and quality of life. This study aimed to analyze the changes of postoperative symptoms in lung cancer patients with pulmonary nodules.
Methods: The clinical data of eighty-eight lung cancer patients admitted to the same medical group of Department of Thoracic Surgery, West China Hospital of Sichuan University from June 2021 to September 2021 were prospectively collected and analyzed. The types and severity of clinical symptoms before operation, on discharge day, 30-day and 90-day after operation were analyzed.
Results: The incidence of postoperative symptoms in lung cancer patients was 79.5%, and most patients suffered from mild (54.3%) and moderate (32.9%) symptoms. The main postoperative symptoms of lung cancer patients were pain (55.7%) and cough (37.2%). The incidence of pain at discharge (55.7%) was significantly higher than that at 30-day (23.7%, P=0.01) and 90-day (12.0%, P=0.01) after discharge. The incidence of cough was significantly higher at 30-day (66.1%) and 90-day (66.0%) than that at discharge (37.2%) (P=0.01, P=0.04).
Conclusions: The main postoperative symptoms of lung cancer patients with pulmonary nodules are pain and cough. The incidence and severity of pain decreases with time, and the incidence of cough increases but the severity decreased gradually.
【中文题目：肺癌患者胸腔镜术后主要症状变化规律分析】 【中文摘要：背景与目的 肺结节患者通过微创手术进行治疗，术后相关症状成为影响患者情绪和生活质量的主要因素，本研究旨在分析肺结节肺癌患者术后症状变化的规律。方法 前瞻性分析四川大学华西医院胸外科2021年6月-2021年9月单个医疗组88例肺癌患者的临床资料。分析术前、出院当天、出院30天及90天的临床症状种类及其严重程度。结果 肺癌患者术后症状发生率79.5%，且以轻度（54.3%）、中度（32.9%）症状为主。肺癌患者术后主要症状有疼痛（55.7%）和咳嗽（37.2%）。疼痛发生率在出院时（55.7%）均显著高于出院30天（23.7%）和出院90天（12.0%）（P=0.01, P=0.01）。咳嗽发生率在出院30天（66.1%）和90天（66.0%）均显著高于出院时（37.2%）（P=0.01, P=0.04）。 结论 肺结节肺癌患者术后主要症状是疼痛和咳嗽，且疼痛发生率和程度均随时间而减少或减轻，而咳嗽发生率随时间增高但程度逐渐减轻。 】 【中文关键词：胸腔镜手术；疼痛；咳嗽；肺肿瘤】.
Keywords: Cough; Lung neoplasms; Pain; Video-assisted thoracoscopic surgery.