康复训练联合吸入噻托溴胺对稳定期慢性阻塞性肺疾病疗效观察

目的 观察呼吸肌康复训练联合吸入噻托溴胺对稳定期慢性阻塞性肺疾病(COPD)患者的肺功能和生活质量的影响.方法 将缓解期出院的68例、COPD患者随机分成2组,联合组35例,康复组33例,联合组患者进行呼吸肌康复训练并联合吸人长效M受体阻断剂噻托溴胺,康复组患者只呼吸肌康复训练,住院时根据患者病情制订康复治疗方案,交给病人和家属参照执行,并留患者的联系电话以监督实施和随访.结果 6个月后两组患者的肺功能,运动耐力,血气分析等明显改善,差异有统计学意义(P＜0.05);联合组改善更明显.结论 对稳定期COPD患者进行长期、有效、个体化的康复训练并联合吸人噻托溴胺可改善患者的肺功能和运动耐力,减少急性加重,提高患者的生活质量.

Effect of rehabilitation exercise combined with inhalation of tiotropium on the patients with chronic obstructive pulmonary disease in the stable stage

Objective To evaluate the effects of pulmonary rehabilitation exercise combined with inhalation of tiotropium on the chronic obstructive pulmonary disease patients in the stable stage. Methods Sixty- eight outpatients in the stable stage were randomly divided into two groups, combination group (n=35) received rehabilitation exercise and inhalation of tiotropium and rehabilitation group (n=33) received rehabilitation exercise alone. In the hospitalization period, rehabilitative exercise instructions were given to the patients and their families to carry out according to their conditions, telephone numbers were written down for supervision and visit. Results FEV1.0, FVC on the 6 months, times of acute episode, the time of being in hospital and the life quality were superior in combination group to rehabilitation group. Conclusion Compared with rehabilitation alone, the combination group can improve pulmonary function, decreases times of acute episode and time of being in hospital, improves patients life quality.