呼吸训练强化管理在雾化吸入治疗COPD患者中的效果及对肺功能、依从性的影响
Effectiveness of respiratory training under intensive management on chronic obstructive pulmonary disease treated with nebulized inhalation and its effect on lung function and compliance
林莹莹 1李银银 1李春喜1
作者信息
- 1. 236000 安徽省阜阳市妇女儿童医院呼吸与危重症医学科
- 折叠
摘要
目的 探讨强化管理下呼吸训练在雾化吸入治疗慢性阻塞性肺疾病(COPD)患者中的效果和影响.方法 选取2021年9月至2022年12月收治的COPD患者86例,按随机数字表法分成对照组和研究组,每组43例.对照组采取常规呼吸训练,研究组采取强化管理下呼吸训练,对比2组肺功能指标、圣乔治呼吸问卷(SGRQ)评分、憋喘消失时间、肺部啰音消失时间、住院时间和患者依从性.结果 干预前,2组患者肺功能各项指标对比差异无统计学意义(P＞0.05),干预后,研究组肺功能各项指标均高于对照组(P＜0.05);干预前,2组SGRQ各项评分对比差异无统计学意义(P＞0.05),干预后,对照组各项评分均高于研究组(P＜0.05);干预后,研究组憋喘消失时间、肺部啰音消失时间、住院时间均短于对照组(P＜0.05);干预后,研究组依从率(95.35％)相较于对照组(58.14％)高(P＜0.05).结论 对于COPD患者采取强化管理下呼吸训练,有助于改善肺功能恢复,缩短住院时间,提高患者依从性,值得临床推广.
Abstract
Objective To explore the effect of respiratory training under intensive management on chronic obstructive pulmonary disease(COPD)treated with nebulized inhalation.Methods A total of 86 COPD patients admitted from September 2021 to December 2022 were included,and they were divided into the control group(n=43,conventional respiratory training)and research group(n=43,respiratory training under intensive management).Pulmonary function indexes,St.George's Respiratory Questionnaire(SGRQ)scores,time to the disappearance of breath-holding,time to the disappearance of lung rhonchi,length of stay,and patient compliance were compared between groups.Results Before the intervention,there were no significant differences in lung function indexes between the two groups(P＞0.05),and after the intervention,all lung function indexes in the research group were significantly higher than those of the control group(P＜0.05).Before the intervention,there was no significant difference in the SGRQ scores between the two groups(P＞0.05),and after the intervention,SGRQ scores in the control group were significantly higher than those of the research group(P＜0.05).After the intervention,the time to disappear of breathlessness,the time to disappear of pulmonary rales,and length of stay were significantly shorter in the research group than the control group(P＜0.05).The patient compliance was significantly higher in the research group than the control group(95.35％vs 58.14％,P＜0.05).Conclusion Breathing training under intensive management for COPD patients can help improve pulmonary function recovery,shorten length of stay and improve patient compliance,which is worthy of clinical promotion.
关键词
慢性阻塞性肺疾病/呼吸训练/肺功能/依从性Key words
chronic obstructive pulmonary disease/breathing training/pulmonary function/compliance引用本文复制引用
出版年
2024
NETL
NSTL
万方数据