肺呼吸康复治疗在慢性阻塞性肺疾病稳定期患者中的应用研究

目的分析探讨肺呼吸康复治疗在慢性阻塞性肺疾病稳定期患者中的应用效果。方法选择2018年1月至2020年3月间收治的80例慢阻肺稳定期患者,随机分为常规治疗组和肺呼吸康复治疗组。常规治疗组予以常规治疗,肺呼吸康复治疗组在常规治疗基础上,采用呼吸训练器进行吸气和呼气训练。观察比较两组患者出院随访4周后的肺功能、生活质量及运动能力。结果经4周治疗训练后,两组患者肺功能各项指标较治疗前均有显著改善(P<0.05)。肺呼吸康复治疗组患者治疗后FVC为2.43±0.61L,FEV₁为1.39±0.34L,FEV 1/FVC为57.18%±5.83%,各项指标均显著优于常规治疗组(P<0.05)。肺呼吸康复治疗组治疗后6min步行试验距离为382.52±39.06m,CAT评分为12.12±5.07分,患者治疗后运动能力及生活质量优于常规治疗组(P<0.05)。治疗后,肺呼吸康复治疗组BODE评分为3.21±0.57,优于常规治疗组,差异有统计学意义(P=0.009)。结论呼吸训练器联合常规治疗应用于肺呼吸康复治疗,可明显改善COPD稳定期患者的肺功能,改善生活质量。

Effect of pulmonary respiratory rehabilitation therapy in patients with stable chronic obstructive pulmonary disease

Objective To analyze the effect of pulmonary respiratory rehabilitation therapy in patients with stable chronic obstructive pulmonary disease.Methods From January 2018 to March 2020,80 patients with stable chronic obstructive pulmonary disease were recruited,and randomly assigned to two groups.The control group was treated with routine therapy,while the treatment group was treated with pulmonary respiratory rehabilitation therapy.Pulmonary function,living quality,and exercise capacity of patients were compared between two groups 4 weeks after discharge.Results After 4 weeks of therapy,both groups showed improvement in pulmonary function,living quality,and exercise capacity(P<0.05).The value of FVC,FEV 1,and FEV₁/FVC was 2.43±0.61L,1.39±0.34L,and 57.18%±5.83%respectively in the treatment group,which was significantly better than those in the control group.The treatment group also showed better COPD assessment test scores(12.12±5.07)and 6 minute walk test distance(382.52±39.06m)compared to the control group(P<0.05).The pulmonary respiratory rehabilitation therapy group also showed better BODE index(3.21±0.57)compared to the control group(P=0.009).Conclusion Respiratory trainer combined with routine therapy in pulmonary respiratory rehabilitation therapy is proved effective in patients with stable chronic obstructive pulmonary disease,which could be beneficial to patients′pulmonary function and living quality.