학술지
| 발행연도 | 2025/03/31 | ||
|---|---|---|---|
| 권 | 13 | 호 | 1 |
| 페이지 | 1-6(6) | ||
| 제목 | 고령 소세포 폐암 환자에서 호흡재활과 자가운동이 신체기능 유지에 미치는 장기적 효과: 79세 환자 5년 경과 사례 분석 | ||
| 저자 | ■박태성1,2, 홍초희2 , 정종화2,3, 장명훈2,4, 이병주2,4, 신명준1,2,4, 김상훈2,4* | ||
| 교신저자 | 김상훈 | ||
| 소속 | 1 부산대학교병원 융합의학기술원, 2 부산대학교병원 의생명연구원, 3 부산대학교병원 재활의학과 물리치료실, 4 부산대학교병원, 부산대학교 의과대학 재활의학과 | ||
| Abstract | Purpose: This case report aimed to share the long-term follow-up results of an older patient with small cell lung cancer (SCLC), focusing on the challenges and benefits of pulmonary rehabilitation (PR). Methods: A 79-year-old patient with limited-stage SCLC and chronic obstructive pulmonary disease (COPD) received chemoradiotherapy and participated in 15 PR sessions over 2 months, followed by self-exercise and management education, including inspiratory muscle training (IMT), during outpatient visits over 38 months. Physical function was assessed eight times during follow-up. Results: The initial evaluation revealed forced vital capacity at 45.9%, forced expiratory volume in 1 s at 43.3%, maximal inspiratory pressure of 30 cmH2O, maximal expiratory pressure of 84 cmH2O, and a 6-min walk test (6MWT) distance of 497 m. After the acute exacerbation of COPD and SCLC symptoms, the patient’s respiratory muscle strength and body composition improved, and the 6MWT distance was well maintained above 350 m. Conclusion: This case demonstrates that even IMT and self-management education in an outpatient setting can help maintain long-term physical function in older patients with SCLC. PR programs are crucial for improving the quality of life and physical function of these patients. | ||
| 키워드 | Chronic Obstructive Pulmonary Disease, Inspiratory Muscle Training, Older Adults, Small Cell Lung Cancer | ||
| 첨부파일 #1 | 01_김상훈(1-6).pdf | ||