摘要
目的 肺康复训练联合常规西医治疗对慢性阻塞性肺疾病(COPD)稳定期患者肺功能及炎性因子的影响。方法 选取我院2019年8月—2020年9月收治的86例COPD稳定期患者为研究对象,按照随机数字表法分为观察组与对照组,每组43例。对照组采用传统内科药物治疗,观察组在对照组基础上进行肺康复训练,两组均连续治疗10周。比较两组的治疗效果及治疗前后的肺功能、运动耐力、炎性因子水平。结果 比较两组的治疗总有效率,观察组的95.35%明显高于对照组的76.74%,差异有统计学意义(P<0.05)。相比治疗前,治疗后两组的各项肺功能指标均提高,且观察组治疗后的各项指标均高于对照组,组间差异有统计学意义(P<0.05)。治疗后,两组的6 min步行距离(6 MWD)均长于治疗前,且观察组距离长于对照组,组间差异有统计学意义(P<0.05)。治疗后,两组的COPD患者自我评估测试问卷(CAT)评分及各项血清炎性因子水平均低于治疗前,且观察组上述各项指标均低于对照组,组间差异有统计学意义(P<0.05)。结论 肺康复训练联合常规西医治疗能够有效提升COPD稳定期患者的肺功能及运动耐力,改善其临床症状,降低炎症反应,临床疗效肯定,值得推广使用。
Objective To investigate the effects of pulmonary rehabilitation training combined with conventional Western medicine on lung function and inflammatory factors in patients with chronic obstructive pulmonary disease(COPD)at stable stage.Methods A total of 86 patients with stable COPD admitted to our hospital from August 2019 to September 2020 were selected as the research objects,and were divided into an observation group and a control group according to random number table method,with 43 cases in each group.The control group received traditional medicine treatment,and the observation group received pulmonary rehabilitation training on the basis of the control group.Both groups received continuous treatment for 10 weeks.The effective rate and the lung function indexes,exercise endurance and inflammatory factor levels before and after treatment were compared between the two groups.Results Compared the total effective rate of the two groups,95.35%of the observation group was significantly higher than 76.74%of the control group,the difference was statistically significant(P<0.05).Compared with before treatment,all lung function indexes in the two groups were improved after treatment,and all indexes in the observation group were higher than those in the control group after treatment,the differences between the groups were statistically significant(P<0.05).After treatment,the 6 min walking distance(6 MWD)was longer in both groups than before,and the distance of the observation group was longer than that of the control group,the difference was statistically significant(P<0.05).After treatment,the self-assessment questionnaire(CAT)score and serum inflammatory factors of COPD patients in both groups were lower than before treatment,and the above indicators in the observation group were lower than those in the control group,the differences between groups were statistically significant(P<0.05).Conclusion Lung rehabilitation training combined with conventional Western medicine treatment can effectively improve the lung funct
作者
高秀梅
GAO Xiumei(Department of General Medicine,Liangshan County Psychiatric Hospital,Jining Shandong,272600,China)
出处
《反射疗法与康复医学》
2021年第10期121-123,150,共4页
Reflexology And Rehabilitation Medicine
关键词
慢性阻塞性肺疾病
肺康复训练
炎性因子
肺功能
运动耐力
Chronic obstructive pulmonary disease
Lung rehabilitation training
Inflammatory factors
Lung function
Exercise endurance
