肺康复干预对中重度慢性阻塞性肺疾病患者运动耐力和生活质量影响的研究

目的 探讨肺康复干预对中重度慢性阻塞性肺疾病（COPD）患者运动耐力及生活质量的影响.方法 选取2012年7月～2013年8月来我院住院治疗的115例中重度COPD患者,均接受呼吸内科常规治疗.将患者分为两组,对照组57例患者的健康宣教及康复训练指导采用电话随访方式,观察组58例患者给予肺康复治疗,内容包括运动疗法与健康教育.结果 两组干预后FEV、FVC等肺功能指标及6MWD明显升高,观察组升高的幅度大于对照组（P＜0.05）.两组干预后年平均复发住院次数、平均住院时间及总卧床时间明显降低,观察组降低的幅度大于对照组（P＜0.05）.观察组干预后日常生活活动能力、社会活动、抑郁焦虑及总均分数均明显降低,各项生活质量评分均低于对照组（P＜0.05）.结论 对中重度COPD患者实施运动疗法与健康教育相结合的肺康复能够增强运动耐力,改善肺功能,提高生活质量.

Research on endurance and quality of life in chronic obstructive pulmonary disease in patients with moderate to severe exercise treated with Pulmonary rehabilitation intervention

Objective To investigate the effects of endurance and quality of life in chronic obstructive pulmonary disease in patients with moderate to severe exercise treated with pulmonary rehabilitation intervention. Methods The subjects included 115 cases with moderate to severe COPD patients selected from July 2012 to August 2013 in our hospital, they were given conventional treatment of respiratory medicine. Patients were divided into two groups, 57 cases in the control group ,they were given health education and rehabilitation training guidance by telephone follow-up of patients, 58 patients in the observation group, they were given the treatment of pulmonary rehabilitation, included physical therapy and health education. Results FEV, FVC and other lung function parameters and 6MWD of two groups after intervention increased significantly, the magnitude of the observation group increased than that of the control group （P〈 0.05）. Year average recurrence frequency of hospitalization, the average length of stay and total bed time of two groups after the intervention decreased significantly than before intervention, the magnitude of the observation group reduced than that of the control group （P〈0.05）. The activities of daily living, social activities, depression, anxiety, and total average score of the observation group after the intervention were significantly lower than before intervention, quality of life scores were lower than that of the control group （P 〈0.05）. Conclusion Patients with moderate to severe COPD pulmonary rehabilitation exercise therapy with a combination of health education can enhance exercise endurance, improve lung function and improve quality of life.