系统性呼吸功能训练对哮喘-慢性阻塞性肺疾病重叠综合征患者肺功能及呼吸指标的影响

目的 探讨系统性呼吸功能训练对哮喘-慢性阻塞性肺疾病重叠综合征(asthma-COPD overlap syndrome,ACOS)患者肺功能和呼吸指标的影响。方法 选择笔者所在医院2019年5月-2020年10月收治的102例ACOS患者作为研究对象,采用随机数字表法将其分为对照组和研究组,各51例。对照组行常规护理,研究组在对照组基础上融合系统性呼吸功能训练。比较2组干预前后的肺功能指标和呼吸指标。结果 干预后,研究组的肺功能各项指标均明显优于对照组(P<0.05);气道阻力各项指标显著优于对照组(P<0.05),呼吸困难程度轻于对照组(Z=-2.996,P=0.003)。结论 对ACOS患者在护理过程中融合系统性呼吸功能训练,可明显降低患者气道阻力指标,对改善肺功能、缓解患者呼吸困难具有明显效果。

Effects of systematic respiratory rehabilitation training on the pulmonary function and respiratory indexes of patients with frequently acute exacerbation of ACOS patients

Objective To study the effect of the systematic respiratory rehabilitation training on the pulmonary function and respiratory indicators of patients with asthma-chronic obstructive pulmonary disease overlap syndrome(ACOS). Methods Totally 102 patients with ACOS admitted to our hospital between May 2019 and October 2020 were selected, and divided into a control group(n=51) and a study group(n=51) according to a random number table. Both groups received routine nursing, while the study group was additionally provided with the systematic respiratory rehabilitation training. The lung and respiratory function the two groups were compared before and after the intervention. Results After the intervention, the pulmonary and respiratory indexes of the study group were significantly better than those of the control group (P＜0.05 for all). Moreover, the dyspnea of the study group was significantly milder than that of the control group (Z=-2.996, P=0.003). Conclusion For ACOS patients, systemic respiratory rehabilitation training can significantly reduce their airway resistance indexes, improve their lung function and relieve their dyspnea.