综合呼吸训练在慢性阻塞性肺疾病稳定期患者中的应用

目的：探讨综合呼吸训练对慢性阻塞性肺疾病稳定期患者呼吸功能的影响。方法：选择2018年1月至2019年1月收治的80例慢性阻塞性肺疾病稳定期患者，采用随机数字法将其分为观察组与对照组，对照组予以常规的治疗与护理，观察组在对照组基础上予以综合呼吸训练；观察两组患者干预前后的肺功能与血气分析相关指标、运动耐量及CAT评分变化情况。结果：干预前，两组的FEV1、FEV1%、FEV1/FVC、pH、PaO2、PaCO2、运动耐量及CAT评分比较差异无统计学意义（P＞0.05）；干预后，观察组的FEV1、FEV1%、FEV1/FVC均高于对照组，pH、PaO2、PaCO2改善均优于对照组，运动耐量高于对照组，CAT评分低于对照组，差异有统计学意义（P＜0.05）。结论：综合呼吸训练对慢性阻塞性肺疾病稳定期患者有着确切的疗效，可有效改善呼吸功能。

Effect of comprehensive breathing training on pulmonary function and respiratory function in stabilized patients with chronic obstructive pulmonary disease

Objective: To investigate the effects of comprehensive breathing training on lung function and respiratory function in stabilized patients with chronic obstructive pulmonary disease(COPD). Methods: 80 COPD patients in stable phase from January 2018 to January 2019 were randomly divided into observation group and control group. The control group received routine treatment and nursing, while observation group was given comprehensive breathing training on the basis of the control group.The changes of lung function, blood gas analysis related indexes, exercise tolerance and the score of COPD assessment test (CAT) before and after intervention were observed. Results: Before intervention, there was no significant difference in FEV1, FEV1%, FEV1/FVC, pH, PaO2, PaCO2, exercise tolerance and CAT score between the two groups (P>0.05). After intervention, FEV1, FEV1% of the observation group, FEV1/FVC were significantly higher than the control group. The improvement of pH, PaO2 and PaCO2 was significantly better than that of the control group. The exercise tolerance was significantly higher than that of the control group, and the CAT score was significantly lower than that of the control group(P<0.05).Conclusion:Comprehensive breathing training has a definite curative effect on patients with stable chronic obstructive pulmonary disease, which can effectively improve lung function and respiratory function.