Abstract:

Objective To investigate the effects of precision pulmonary rehabilitation based on individualized assessment under the multi-disciplinary treatment（MDT）model on the quality of life of patientsafter lung transplantation. Methods Sixty patients receiving successful lung transplantation at Wuxi People’sHospital Affiliated to Nanjing Medical University from January 2023 to September 2024 were assigned to the routine group and rehabilitation group（30 cases per group）by the random-number table method. The conventionalgroup received comprehensive treatment including medication， nursing， and rehabilitation education after lung transplantation ；The rehabilitation group implemented precise lung rehabilitation intervention under a multidisciplinary diagnosis and treatment model on the basis of the conventional group. Compare multiple indicators（lung function indicators，six minute walking distance，SF-36 score）between two groups of patients before and 3 months after surgery ；Compare the incidence of postoperative pulmonary complications and length of hospital stay between two groups simultaneously. Results There was no statistically significant difference in preoperative indicators between the two groups of patients（P ＞ 0.05）. At 3 months after surgery，both groups of patients showed significant improvement in various indicators compared to preoperative levels（P ＜ 0.05）. Three months aftersurgery，the rehabilitation group showed better lung function and exercise ability related indicators than the control group（P ＜ 0.05）；The scores and total scores of the six dimensions in the SF-36 scale were higher than those in the control group（P ＜ 0.05）；The postoperative hospital stay in the rehabilitation group was shorter than that in the control group（P ＜ 0.05），and the incidence of pulmonary complications such as pulmonary infection，atelectasis，and airway stenosis was lower than that in the control group（P ＜ 0.05）. Conclusion Implementing MDT-guided precision pulmonary rehabilitation after lung transplantation significantly enhances postoperative pulmonary function，exercise capacity，and quality of life，while reducing hospital stay and complication rates. This approach alleviates the economic burden on patients and comprehensively improves their long-term outcomes. 

Key words:

 , Lung transplantation , Multi-Disciplinary Treatment , Precision , Pulmonaryrehabilitation, Quality of life

摘要：

目的 探讨多学科诊疗模式（multi-disciplinary treatment，MDT）下基于个体化评估的精准肺康复对肺移植术后患者生存质量的影响。 方法 选取 2023 年 1 月至 2024 年 9 月于南京医科大学附属无锡人民医院成功接受肺移植手术的 60 例患者，随机数字表法分为常规组与康复组，每组各 30 例。常规组接受肺移植术后药物治疗、护理及康复宣教等综合治疗，康复组在常规组基础上实施多学科诊疗模式下的精准肺康复干预。对比两组患者术前及术后 3 个月的多项指标（肺功能指标、6 min 步行距离、SF-36 得分），同时比较两组术后肺部并发症的发生率及住院天数。 结果 两组患者术前各项指标均无统计学差异（P ＞ 0.05）。术后 3 个月时，两组患者各项指标相较于术前均有显著改善（P ＜ 0.05）。术后 3 个月，康复组在肺功能及运动能力相关指标上均优于常规组（P ＜ 0.05），SF-36 量表中 6 个维度得分及总分均高于常规组（P ＜ 0.05），康复组术后住院天数短于常规组（P ＜ 0.05），且肺部感染、肺不张、气道狭窄等肺部并发症的发生率低于常规组（P ＜ 0.05）。 结论 肺移植术后，在多学科诊疗模式下开展精准肺康复，能够有效提升患者术后肺功能与运动能力，缩短住院时间，降低术后肺部并发症发生率，进而减轻患者经济负担，全方位提升患者生活质量。

关键词: 肺移植 , 多学科诊疗模式 , 精准 , 肺康复 , 生存质量