首页|康复呼吸操辅助药物治疗对职业性矽肺病患者血气分析指标及肺功能的影响

康复呼吸操辅助药物治疗对职业性矽肺病患者血气分析指标及肺功能的影响

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目的 分析康复呼吸操辅助药物治疗对职业性矽肺病患者血气分析及肺功能的影响.方法 选取 2022 年7月—2023 年 10 月济南医院收治的 60 例职业性矽肺病患者为研究对象,按随机数字表法将其分为对照组和观察组,各30 例.对照组采用常规药物治疗,观察组在对照组的基础上辅助康复呼吸操训练,两组均连续治疗 2 个月.比较两组的肺功能指标、血气分析指标和生活质量.结果 治疗后,观察组用力肺活量(FVC)、第 1 秒用力呼气容积(FEV1)分别为(2.92±0.58)L、(2.12±0.48)L,均大于对照组的(2.57±0.56)L、(1.68±0.46)L,FEV1/FVC为(72.60±0.58)%,高于对照组的(65.37±0.85)%,组间差异有统计学意义(P﹤0.05);观察组脉氧分压、血氧饱和度均高于对照组,动脉血二氧化碳分压低于对照组,组间差异有统计学意义(P﹤0.05);观察组症状、活动及影响部分评分均低于对照组,组间差异有统计学意义(P﹤0.05).结论 康复呼吸操辅助药物治疗职业性矽肺病患者,有利于改善患者的血气分析指标和肺功能,促进其生活质量提高,值得临床推广使用.
Effect of Rehabilitation Breathing Exercise Assisted Drug Therapy on Blood Gas Analysis Indicators and Pulmonary Function in Patients with Occupational Silicosis
Objective To analyze the effect of rehabilitation breathing exercise assisted drug therapy on blood gas analysis and pulmonary function in occupational silicosis patients.Methods Sixty cases of occupational silicosis patients admitted to Jinan Hospital from July 2022 to October 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 30 cases in each group.The control group was treated with conventional drugs therapy,and the observation group was assisted with rehabilitation breathing exercise training on the basis of the control group,both groups were treated continuously for 2 months.The indicators of pulmonary function,blood gas analysis and quality of life were compared between the two groups.Results After treatment,forced vital capacity(FVC),forced expiratory volume in one second(FEV1)in the observation group were(2.92±0.58)L and(2.12±0.48)L,respectively,which were higher than(2.57±0.56)L and(1.68±0.46)L in the control group,and FEV1/FVC was(72.60±0.58)%,which was higher than(65.37±0.85)%in the control group,the differences between the groups were statistically significant(P﹤0.05);pulse oxygen partial pressure,blood oxygen saturation in observation group were higher than those in control group,and arterial partial pressure of carbon dioxide was lower than that in control group,the differences between the groups were statistically significant(P﹤0.05);the symptoms,activities and effects score of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P﹤0.05).Conclusion Rehabilitation respiratory exercise adjuvant drugs in the treatment of occupational silicosis patients can improve the blood gas analysis indicators and pulmonary function,and promote the improvement of their quality of life,which is worthy of clinical promotion and use.

Occupational silicosisDrug therapyRehabilitation breathing exercisesBlood gas analysis indicatorsPulmonary function

李子昂、王焱

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济南医院职业病科,山东 济南 250013

职业性矽肺病 药物治疗 康复呼吸操 血气分析指标 肺功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(19)