评估呼吸肌康复训练对慢性肺疾病患者的应用价值

目的评估呼吸肌康复训练对慢性阻塞性肺疾病(COPD)患者的临床应用价值。方法选取2010年8月至2012年8月在天津市职工医院治疗的COPD患者120例,按入院顺序随机分为观察组和对照组,各60例。对照组给予常规的健康宣教康复干预,观察组在此基础上给予呼吸肌康复、家庭氧疗等治疗措施。比较对两组干预治疗前后的临床总有效率、肺功能变化以及生存质量等。结果①对照组与观察组两组患者的临床总有效率分别为68.33%(41/60)、93.33%(56/60),两者差异具有统计学意义(P<0.05)。②对照组与观察组患者的肺功能治疗后一秒用力呼气容积,观察组为(1.76±0.32)L,对照组为(1.47±0.38)L;治疗后第一秒用力气量占用力肺活量的百分比,观察组为(60.08±10.10)%,对照组为(55.73±15.03)%,治疗后6 min步行距离,观察组为(389.21±25.11)m,对照组为(432.52±29.43)m,差异均存在统计学意义(P<0.01)。③根据患者生存质量评价标准,观察组与对照组治疗后的生存质量总得分分别为(136.65±18.54)分、(106.24±21.33)分,两者的差异有统计学意义(P<0.05)。结论对COPD患者进行呼吸肌康复治疗措施,有利于患者肺功能的改变、提高了患者的生存质量。

Application Value of Respiratory Muscle Rehabilitation for Patients with Chronic Obstructive Pulmonary Disease

Objective To assess the application value of respiratory muscle rehabilitation for the patients with chronic obstructive pulmonary disease(COPD).Methods One hundred and twenty patients receiving rehabilitation treatment in Tianjin Workers Hospital from August 2010 to 2012 with COPD were randomly divided into control group and observation group.The control group was given routine health education and the observation group was given respiratory muscle rehabilitation and home oxygen therapy.The clinical total effect rate,pulmonary function,and the score of survival quality were compared.Results ①The clinical total effective rate of control group and observation group was 68.33%(41 /60),93.33%(56 /60) respectively,and the difference was statistically significant(P < 0.05);②The forced expiratory volume in one second after treatment of the observation group was(1.76 ± 0.32) L,of the control group was(1.47 ± 0.38) L,volume percentage of the first second expiration to forced vital capacity of the observation group was(60.08 ±10.1) %,of the control group was(55.73 ±15.03) %,after treatment 6 minutes walking distance of the observation group was(389.21 ± 25.11) m,of the control group was(432.52 ± 29.43) m,the difference was statistically significant(P < 0.01);③According to the evaluation of the quality of life of patients,the total scores of quality of life of the observation group and the control group after treatment was(136.65 ± 18.54) %,(106.24 ± 21.33) respectively,there was statistical difference(P < 0.05).Conclusion Respiratory muscle rehabilitation and home oxygen therapy can improve the lung function and the quality of lifeI of patients with COPD.