慢性阻塞性肺疾病2种肺康复策略的疗效比较

目的:比较2种不同的肺康复干预策略对慢性阻塞性肺疾病(COPD)患者BODE指数评分、焦虑抑郁及日常生活活动能力的改善及脱落率。方法:采用随机、对照的方法将155例稳定期COPD患者分为3组,肺康复干预Ⅰ组给予康复宣教、有氧呼吸操及体能训练;肺康复干预Ⅱ组仅给予康复宣教及有氧呼吸操,对照组不给予肺康复干预,为期20周。比较康复前后3组患者BODE指数、焦虑抑郁及日常生活活动能力评分及脱落的差异。结果:经过20周的肺康复干预,肺康复干预Ⅰ、Ⅱ组较对照组在焦虑抑郁评分、6 min步行距离、呼吸困难程度评分均明显改善(P<0.01),但脱落率明显高于其他2组(P

Comparison of two strategies for pulmonary rehabilitation of chronic obstructive pulmonary disease patients

Objective To compare the effect of two pulmonary rehabilitation programs for chronic obstructive pulmonary disease（COPD） on BODE index,depression/anxiety,life quality,and dropping rate.Methods One hundred and fifty-five stable stage COPD patients were divided randomly into three groups.Patients in rehabilitation intervention Ⅰ group were subjected to education,aerobic exercise and body training for 20 weeks.Rehabilitation intervention Ⅱ group patients were subjected to education,aerobic exercise but no body training for 20 weeks.Patients in control group did not received rehabilitation intervention.BODE index,Hamilton anxiety scale（HAMA）,Hamilton depression rating scale for depression（HRSD）,and Activities of daily living（ADL） were evaluated before and after rehabilitation intervention,and the dropping rates were compared.Results After 20-weeks of pulmonary rehabilitation program,depression/anxiety score,6-minute walking distance and degree of dyspnea improved significantly in group Ⅰ and Ⅱ when compared with control group（P0.05）.6-minute walking distance and daily living activities were significantly higher in group Ⅰ than in group Ⅱ（P0.01）,but the dropping rate was also higher.No significant changes of BODE index,pulmonary function and body mass index（BMI） were observed.Conclusions The two pulmonary rehabilitation strategy tested could improve degree of dyspnea,depression/anxiety score,and exercise ability in stable stage COPD patients.Six-minute walking distance and daily living activities improved more markedly in rehabilitation intervention Ⅰ group.