呼吸功能训练在慢性阻塞性肺气肿患者中的应用效果

目的 探讨呼吸功能训练在慢性阻塞性肺气肿患者中的应用效果。方法 选取2018年1月至2020年10月我院100例慢性阻塞性肺气肿患者作为研究对象，按照随机数字表法将其分为对照组和观察组，每组50例。对照组给予常规护理，观察组在对照组的基础上给予呼吸功能训练。比较两组患者的膈肌功能、肺通气功能、动脉血气状况、血液流变学指标及生活质量评分。结果 护理后，观察组的跨膈压、膈肌吸气峰流速、FEV1、FEV1/FVC、PaO2均高于对照组，PaCO2、全血高切黏度、全血低切黏度、血浆黏度均低于对照组，差异具有统计学意义（P<0.05）。护理后，观察组的生理、心理、环境、社会关系评分均高于对照组，差异具有统计学意义（P<0.05）。结论 在慢性阻塞性肺气肿患者中实施呼吸功能训练，可有效改善膈肌功能、肺通气功能、动脉血气状况及血液流变学指标，进而显著提升生活质量，值得临床推广和应用。

Application effect of respiratory function training in patients with chronic obstructive pulmonary emphysema

Objective To explore the application effect of respiratory function training in patients with chronic obstructive pulmonary emphysema.Methods A total of 100 patients with chronic obstructive pulmonary emphysema in our hospital from January 2018 to October 2020 were selected as the research objects.The patients were divided into control group and observation group according to random number table method,with 50 cases in each group.The control group was given routine nursing,and the observation group was given respiratory function training on the basis of the control group.The indexes of diaphragmatic function,pulmonary ventilation function,arterial blood gas status,hemorheology and quality of life score were compared between the two groups.Results After nursing,the transdiaphragmatic pressure,peak inspiratory velocity of diaphragm,FEV1,FEV1/FVC and PaO2 in the observation group were higher than those in the control group,and the PaCO2,high-shear whole blood viscosity,low-shear whole blood viscosity and plasma viscosity were lower than those in the control group,the differences were statistically significant(P <0.05).After nursing,the physiology,psychology,environment and social relation scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Respiratory function training applied in patients with chronic obstructive pulmonary emphysema can effectively ameliorate the indexes of diaphragmatic function,pulmonary ventilation function,arterial blood gas status and hemorheology,and significantly improve the quality of life,which is worthy of clinical promotion and application.