首页|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

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

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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.
Effectiveness of respiratory training under intensive management on chronic obstructive pulmonary disease treated with nebulized inhalation and its effect on lung function and compliance
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.

chronic obstructive pulmonary diseasebreathing trainingpulmonary functioncompliance

林莹莹、李银银、李春喜

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236000 安徽省阜阳市妇女儿童医院呼吸与危重症医学科

慢性阻塞性肺疾病 呼吸训练 肺功能 依从性

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(24)