摘要
目的探讨个体化运动方案的综合康复治疗对煤工尘肺患者肺功能、运动能力、生存质量以及生化指标的康复治疗效果,为煤工尘肺的康复治疗提出科学有效的方法。方法于2015年12月至2016年12月,收集并整理淮北煤矿职业病防治院尘肺科在院治疗的煤工尘肺患者的资料,共选取尘肺患者80例。利用随机数字表随机分为观察组和对照组,观察组40例,对照组34例(失活6例)。分析两组患者在治疗前和治疗后肺功能指标、BMI指数、六分钟步行距离(6MWD)、生活质量问卷(SF-36)、医院焦虑抑郁量表(HADS)、圣乔治呼吸问卷(SGRQ)、C反应蛋白(CRP)和血氧饱和度(SpO2)指标,分析比较评估两组患者的呼吸状况、运动能力及生存质量。结果与对照组比较,观察组治疗后患者用力肺活量(FVC)、第一秒用力肺活量(FEV1)、最大呼气流量(PEF)、肺活量剩余75%时的呼气流速、肺活量剩余25%时的呼气流速明显较高,差异均有统计学意义(P<0.05);观察组患者治疗后FVC、FEV1、PEF均高于治疗前,差异均有统计学意义(P<0.05)。与对照组比较,观察组患者治疗后6MWD较大,SGRQ得分较低、SF-36得分较高,差异均有统计学意义(P<0.05)。结论个体化运动方案的综合康复治疗可提高尘肺患者的耐力和运动能力,改善尘肺病患者的呼吸状况以及生存质量。
Objective To explore the effect of comprehensive rehabilitation treatment of individualized exercise program on lung function, exercise ability, quality of life and biochemical indexes of coal workers’ pneumoconiosis patients, and to provide scientific and effective methods for rehabilitation treatment of coal workers' pneumoconiosis. Methods In Huaibei Coal Mine Occupational Disease Prevention and Control Hospital, the data of pneumoconiosis patients treated by pneumoconiosis department in the hospital were collected and sorted out. 80 patients were selected according to the inclusion and exclusion criteria. Using a random number table, they were randomly divided into two groups with 40 cases in each group. The data investigated in this study include the results before and after treatment. Pulmonary function index, BMI index, six-minute walking distance (6MWD), quality of life questionnaire (SF-36), hospital anxiety and depression scale (HADS), st George's breathing questionnaire (sgrq), c-reactive protein (CRP) and blood oxygen saturation (SpO2) were used to evaluate and compare the efficacy of the two groups. Results The lung function indexes of the test group were significantly higher than those of the control group after treatment (P<0.05), including forced vital capacity, forced vital capacity in the first second, maximum expiratory flow, expiratory flow when vital capacity was 75% and expiratory flow when vital capacity was 25%. The forced vital capacity, the first-second forced vital capacity and the maximum expiratory flow of the patients in the test group were higher after treatment than before (P<0.05). The six-minute walking distance of the test group was greater than that of the control group after treatment (P<0.05). After treatment, the scores of st George’s breathing questionnaire in the test group were lower than those in the control group (P<0.05). The scores of quality of life questionnaire in the test group were higher than those in the control group after treatment (P<0.05). Conclusion Th
作者
肖坤
刘建华
丁新平
崔风涛
王怀宾
王苗苗
沈福海
Xiao Kun;Liu Jianhua;Ding Xinping;Cui Fengtao;Wang Huaibin;Wang Miaomiao;Shen Fuhai(School of Public Health, North China University of Science and Technology, Tangshan 063210, China;Huaibei Mining Group Occupational Disease Prevention and Control Institute. Tangshan 063210, China)
出处
《中华劳动卫生职业病杂志》
CAS
CSCD
北大核心
2019年第5期357-361,共5页
Chinese Journal of Industrial Hygiene and Occupational Diseases
基金
河北省自然科学基金(H2017209195).
关键词
煤工尘肺
个体化运动方案
康复治疗
Coal workers' pneumoconiosis
Individual movement scheme
Rehabilitation treatment
