综合康复理疗对支气管哮喘患者肺功能和生活质量的影响

目的 探讨综合康复理疗对支气管哮喘患者肺功能和生活质量的影响。方法 随机将116例支气管哮喘患者均分为对照组和观察组。两组患者均给予常规的健康教育和护理及对症处理，在此基础上，观察组患者给予综合康复理疗。干预前后采集日间、夜间症状积分，哮喘控制测试（asthma control test，ACT），支气管哮喘生命质量调査问卷（bronchial asthma quality of life questionnaire，AQLQ）数据和肺功能指标：一秒钟用力呼气量占预计值百分比（percentage of forced expiratory volume in one second，FEV₁%），FEV₁/用力肺活量（forced vital capacity，FVC）。结果 干预后两组夜间症状积分和日间症状积分均低于干预前，组内比较干预后ACT积分高于干预前，差异均有统计学意义（均有P<0.05）。干预后观察组AQLQ总分及各维度评分均高于对照组（均有P<0.05），组内比较各指标干预前后，除对照组的环境刺激得分前后比较差异无统计学意义（t=1.206，P=0.233），其他各指标差异均有统计学意义（均有P<0.05）。干预后，组间FEV₁/FVC差异有统计学意义（t=2.430，P=0.017）；组内比较：FEV₁/FVC指标，观察组干预前后比较差异有统计学意义（t=2.108，P=0.040）。结论 综合康复理疗有助于改善支气管哮喘患者肺功能和生活质量，提升医疗护理服务质量。

The influence of comprehensive rehabilitation therapy on lung function and quality of life in adult patients with bronchial asthma

Objective To exlpore the influence of comprehensive rehabilitation therapy on lung function and quality of life in adult patients with bronchial asthma. Methods A total of 116 cases patients with bronchial asthma were divided into two groups randomly. Patients in two groups were given conventional prevention, health education and nursing,on this basis,patients in the observation group were given the comprehensive rehabilitation therapy.The symptom integral day and night,asthma control test (ACT),bronchial asthma quality of life questionnaire (AQLQ) and lung function index:percentage of forced expiratory volume in one second(FEV₁%), and FEV₁/forced vital capacity (FVC) before and after intervention were collected. Results After intervention, the symptom integral of day and night within two groups were significantly lower than before, the ACT score were significantly higher than before the intervention (all P<0.05). AQLQ scores and each dimension score in the observation group were significantly higher after the intervention than before (all P<0.05), and all dimensions showed statistical significance (all P<0.05) except environmental stimulation score in the control group (t=1.206, P=0.233). The difference of FEV1/FVC between groups had a statistical significance (t=2.430, P=0.017). When comparing FEV1/FVC value within each group, the observation group showed statistical significance before and after the intervention (t=2.108, P=0.040). Conclusions Comprehensive rehabilitation therapy can help improve lung function and the quality of life in adult patients with bronchial asthma,and improve the quality of medical care services.