肺康复治疗对慢性阻塞性肺疾病患者生存质量及FEV1％的影响

目的：研究下肢训练为主要方式的肺康复治疗对慢性阻塞性肺疾病（chronic obstructive pulmonary disease，COPD）患者生存质量及FEV1％（第一秒用力呼气量占预计值百分比）的影响。方法：对本院呼吸科40例COPD稳定期患者肺康复治疗前后分别进行圣乔治呼吸问卷（SGRQ）评分及测定FEV1％，SGRQ评分和FEV1％进行配对t检验。结果：SGRQ各部分分值（呼吸症状、活动受限及疾病影响）及总分值治疗后有明显改善（P均〈0．01）,FEV1％治疗后亦有改善，但改善程度小于SGRQ（P〈0．05）。结论：肺康复治疗能改善COPD患者的生存质量及FEV1％。

The Influence of Pulmonary Rehabilitation on Quality of Life and FEV1% of Chronic Obstructive Pulmonary Disease Patients

Objective： To evaluate effects of pulmonary rehabilitation program improved by the method of the lower limbs training on the life quality and FEV1 % of patients with chronic obstructive pulmonary disease （ COPD ）. Methods： SGRQ score, FEV1% were collected from 40 patients with COPD in stable stage before and after pulmonary rehabilitation. Paired t test was performed to evaluate the validity of the data. Results ： As compared with pre-therapy, Three parts of the SGRQ score （respiration symptom,limitation of motion and disease effect） and the total score（ Pretherapy ： 49 ± 21, Post-therapy ： 30 ± 22 ） were significantly improvement （ P value is 0. 004,0. 009,0. 006,0. 007 respectively）, the same result also was observed in FEV1% before and after pulmonary rehabilitation. But the improvement in FEV1% （ Pre-therapy： 48 ± 15,Post-therapy： 64 ±20） was much less than that in SGRQ（P =0. 042 〈 0.05 ）. Conclusion： Pulmonary Rehabilitation program could improve the life quality and FEV1 % of patients with COPD.