摘要
目的评估肺康复运动用于支气管扩张急性加重患者恢复期的治疗效果。方法纳入支气管扩张患者共计60例。患者于支气管扩张急性发作时入院使用抗菌药物治疗14天后,依据随机数字表将患者随机分配至肺康复运动组(pulmonary rehabilitation group,P组)或标准治疗组(control group,C组)。C组患者进行宣传教育;P组患者在C组基础上进行为期4周的肺康复运动。于支气管扩张急性发作时(T0)、抗菌药物治疗结束(T2)、肺康复运动结束(T6)、肺康复运动结束后4周(T10)评估患者6 min步行试验(6 minutes walk test,6MWT)结果。使用圣乔治呼吸问卷(St.George Respiratory Questionnaire,SGRQ)评估上述时点患者生活质量。结果P组患者T6时点6MWT明显高于T2时点,而SGRQ评分显著低于T2时点,差异有统计学意义(P<0.05)。P组患者T6时点6MWT显著高于C组患者,但SGRQ评分低于C组患者,差异有统计学意义(P<0.05)。结论为期4周的肺康复运动能够有效提升支气管扩张急性加重后患者的运动耐力、改善患者生活质量,但该效果无法长期持续。
Objective To evaluate the effect of pulmonary rehabilitation in patients with acute exacerbations of bronchiectasis.Methods A total of 60 patients with bronchiectasis were included in this study.Patients with acute exacerbations of bronchiectasis were conventionally treated with antimicrobial agents for 14 days and then were randomly divided into the Pulmonary Rehabilitation Group(P group)or the standard care group(C group)according to using a random number table.Patients in group C received publicity and education,while those in group P received pulmonary rehabilitation for 4 weeks besides the education therapy.6 Minutes Walk Test(6MWT)was evaluated at the time of an acute episode of bronchiectasis(T0),end of antimicrobial therapy(T2),end of pulmonary rehabilitation exercise(T6),and 4 weeks after completion of pulmonary rehabilitation exercise(T10).St.George Respiratory Questionnaire(SGRQ)was used to assess the quality of life of those patients at the above points.Results In group P,6MWT at T6 was significantly higher than that at T2,while SGRQ score was significantly lower than that at T2,with statistically significant differences(P<0.05).The 6MWT of the P group was significantly higher than that of the C group at T6,while the SGRQ score was lower than that of the C group,with statistically significant differences(P<0.05).Conclusion A 4-week pulmonary rehabilitation can effectively improve the exercise endurance and quality of life of patients with acute exacerbation of bronchiectasis,but the effect cannot be sustained for a long time.
作者
祖菲亚·努尔买买提
黄霞
阿丽亚·哈力克
阿米娜古丽·塔西铁木尔
ZUFEIYA·Nuermaimaiti;HUANG Xia;ALIYA·Halike;AMINAGULI·Taxitiemuer(Department of Respiratory and Critical Care Medicine,Eighth Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang 830049,China)
出处
《临床肺科杂志》
2022年第1期50-53,共4页
Journal of Clinical Pulmonary Medicine
关键词
肺康复运动
支气管扩张
6
min步行试验
生活质量
随机对照试验
Pulmonary rehabilitation
Bronchiectasis
6 min walking test
Quality of life
Randomized controlled trials
