摘要
目的:观察运动康复及呼吸训练对慢性阻塞性肺疾病(COPD)缓解期患者相关指标的影响。方法:选择2016年1月-2019年1月就诊于厦门大学附属第一医院鼓浪屿医院的COPD缓解期患者82例,随机分为观察组41例和对照组41例。对照组按COPD常规治疗方案进行药物治疗,观察组在此基础上采用定量步行运动及呼吸训练。干预3个月后,比较两组干预前后肺功能情况、生活质量、6 min步行运动距离和呼吸功能评定。结果:干预后两组6MWT均高于治疗前,CAT评分均低于干预前,且观察组6MWT、CAT评分均优于对照组,差异均有统计学意义(P<0.05);干预后两组FVC、FEV1、FEV1/FVC均高于干预前,且观察组各指标均高于对照组,差异均有统计学意义(P<0.05);干预后两组hs-CRP、IgE均低于干预前,且观察组hs-CRP、IgE均低于对照组,差异均有统计学意义(P<0.05);干预后两组PaCO2均低于干预前,PaO2均高于干预前,且观察组均优于对照组,差异均有统计学意义(P<0.05)。结论:运动康复及呼吸训练可有效改善慢性COPD缓解期患者肺功能及运动能力,对改善生活质量有明显的帮助。
Objective:To observe the effect of exercise rehabilitation and respiratory training on the related indexes of patients with chronic obstructive pulmonary disease(COPD)in remission stage.Method:From January 2016 to January 2019,82 patients with moderate to severe COPD in Gulangyu Hospital,First Affiliated Hospital of Xiamen University were selected,and were randomly divided into the observation group(41 cases)and the control group(41 cases).The control group received drug therapy according to the conventional treatment plan for COPD,and the observation group adopted quantitative walking exercise and respiratory training on this basis.After 3 months of intervention,the pulmonary function,quality of life,6-minute walking distance and respiratory function were compared between the two groups before and after intervention.Result:After intervention,the 6MWT in both groups was higher than that before intervention,and the CAT scores in both groups were lower than those before intervention,the 6MWT and CAT score in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).After intervention,the FVC,FEV1 and FEV1/FVC in both groups were higher than those before intervention,and all indexes in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the hs-CRP and IgE in the two groups were lower than those before intervention,the hs-CRP and IgE in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the PaCO2 in both groups was lower than that before intervention,PaO2 was higher than that before intervention,and the observation group was better than the control group,the differences were statistically significant(P<0.05).Conclusion:Exercise rehabilitation and respiratory training can effectively improve pulmonary function and exercise ability of patients with chronic COPD in remission stage,and
作者
赖明波
LAI Mingbo(Gulangyu Hospital,First Affiliated Hospital of Xiamen University,Xiamen 361000,China)
出处
《中外医学研究》
2020年第23期162-165,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
运动康复
呼吸训练
COPD缓解期
肺功能
生活质量
Exercise rehabilitation
Respiratory training
COPD remission period
Lung function
Quality of life
