摘要
目的观察胸部物理治疗(CPT)对慢性阻塞性肺疾病急性加重(AECOPD)患者的疗效。方法50例AECOPD患者分为两组,每组25例。对照组接受常规治疗,观察组加用CPT。比较两组治疗前和治疗2周后的膈肌厚度和移动度、氧合指数及PaCO_(2)。治疗前和治疗2个月后行健康调查量表(SF-36)评分。记录两组治疗过程中不良反应发生情况。结果治疗2周后,两组膈肌厚度和移动度、氧合指数、PaCO_(2)均优于治疗前(P<0.05),且观察组上述指标均优于对照组(P<0.05)。治疗2个月后,观察组SF-36中生理机能、生理职能、一般健康状况和精力四个方面评分均优于对照组(P<0.05),而两组患者躯体疼痛和精神健康两个方面评分差异无统计学意义(P>0.05)。治疗2个月后,两组患者SF-36中生理机能、生理职能、躯体疼痛、一般健康状况、精力、精神健康六个方面评分均优于治疗前(P<0.05)。两组均未发生不良反应。结论在常规治疗基础上,加用CPT能有效提高AECOPD患者的膈肌厚度和移动度,提高氧合指数,降低PaCO_(2),改善生命质量。
Objective To observe the efficacy of chest physiotherapy(CPT)in the patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods sFifty AECOPD patients were divided into two groups with 25 cases each.The patients in group C received conventional treatment and those in group A were given additional CPT.The thickness and mobility of the diaphragm,oxygenation index and PaCO_(2) before and after 2 weeks of treatment were compared between the two groups.The 36-item short-form health survey(SF-36)scores before and 2 months after treatment of two groups were evaluated.The adverse responses during the treatment were recorded.Results After 2 weeks of treatment,the thickness and mobility of the diaphragm,oxygenation index and PaCO_(2) in both groups were better than those before treatment(P<0.05),and the above indicators in group A were better than those in group C(P<0.05).The physical function,role-physical,general health and vitality scores of SF-36 in group A were better than those in group C(P<0.05),while there were no statistical differences in bodily pain and mental health scores between the two groups(P>0.05).After 2 months of treatment,the physical function,role-physical,bodily pain,general health,vitality and mental health scores of SF-36 in two groups were better than those before treatment(P<0.05).Both groups had no any treatment-related adverse responses.Conclusion On the basis of conventional treatment,additionally use of CPT can effectively improve the thickness and mobility of the diaphragm,raise the oxygenation index,reduce PaCO_(2),and improve the quality of life in the patients with AECOPD.
作者
王哲伟
胡显锋
林静静
张如龙
林秀秀
李海燕
WANG Zhewei;HU Xianfeng;LIN Jingjing(Department of Rehabilitation Medicine,First Affiliated Hospital,Wenzhou Medical University,Wenzhou 325015,CHINA)
出处
《江苏医药》
CAS
2023年第7期722-726,共5页
Jiangsu Medical Journal
基金
温州市科技局基础性科研项目(Y2020260、Y20220605)。
关键词
胸部物理治疗
慢性阻塞性肺疾病急性加重
Chest physiotherapy
Acute exacerbation of chronic obstructive pulmonary disease
