Effects of pulmonary rehabilitation therapy combined with non-invasive mechanical ventilation on pulmonary function and activities of daily living in patients with chronic obstructive pulmonary disease
Objective To discuss the effects of pulmonary rehabilitation therapy combined with non-invasive mechanical ventilation on pulmonary function and activities of daily living in patients with chronic obstructive pulmonary disease(COPD).Methods A total of 82 COPD patients were divided into a control group and an observation group according to random numerical table,with 41 cases in each group.The control group was given non-invasive mechanical ventilation,and the observation group was given pulmonary rehabilitation treatment on the basis of the control group.The clinical efficacy,pulmonary function and activities of daily living were compared between the two groups.Results The total effective rate of 92.68%in the observation group was higher than that of 75.61%in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference between the two groups in terms of peak expiratory flow(PEF),forced expiratory volume in one second(FEV1)and forced vital capacity(FVC)(P>0.05).After 1 week of treatment,PEF,FEV1 and FVC in both groups were higher than those before treatment in this group;the observation group had PEF of(4.21±0.71)L/s,FEV1 of(1.97±0.45)L and FVC of(2.78±0.53)L,which were higher than those of(3.59±0.63)L/s,(1.53±0.36)L and(2.35±0.45)L in the control group;the differences were statistically significant(P<0.05).Before treatment,there was no statistically significant difference in activities of daily living(ADL)scores between the two groups(P>0.05).After 1 week of treatment,ADL score in both groups was higher than that before treatment in this group,and ADL score of(80.75±4.23)points in the observation group was higher than that of(70.69±3.51)points in the control group.The differences were statistically significant(P<0.05).Conclusion Pulmonary rehabilitation therapy + non-invasive mechanical ventilation can effectively improve the pulmonary function of patients with COPD and improve their activities of daily living,which is worthy of being vigorously promoted in clinical practice.
Cchronic obstructive pulmonary diseaseNon-invasive mechanical ventilationPulmonary rehabilitation therapyPulmonary functionActivities of daily living
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维普
