首页|可吹可吸型呼吸训练器应用于社区慢性阻塞性肺疾病稳定期患者中的效果观察

可吹可吸型呼吸训练器应用于社区慢性阻塞性肺疾病稳定期患者中的效果观察

扫码查看
目的 探讨可吹可吸型呼吸训练器在社区慢性阻塞性肺疾病(慢阻肺,COPD)稳定期患者中的应用价值及安全性.方法 选取 90 例慢阻肺稳定期患者,随机分为试验组(44 例)与对照组(46 例).对照组进行常规呼吸训练,试验组使用可吹可吸型呼吸训练器进行呼吸训练.比较两组肺功能指标[第 1 秒用力呼气容积占预计值百分比(FEV1%pred)、第 1 秒用力呼气容积与用力肺活量比值(FEV1/FVC)]、6 min步行距离(6MWD)、急性加重次数和不良事件发生情况.结果 干预后,两组FEV1%pred、FEV1/FVC均较干预前增加,且试验组FEV1%pred(66.98±10.12)%、FEV1/FVC(59.22±9.47)%高于对照组的(58.10±5.01)%、(51.09±8.21)%,差异具有统计学意义(P<0.05).干预后,两组 6MWD均较干预前增加,且试验组 6MWD(340.98±38.19)m长于对照组的(322.14±38.91)m,差异具有统计学意义(P<0.05).随访期间,试验组急性加重次数为 2 人次,对照组急性加重次数为 2 人次,组间比较差异无统计学意义(P>0.05).两组均无不良事件发生.结论 可吹可吸型呼吸训练器应用于社区慢阻肺稳定期患者的肺康复治疗中效果明显.
Observation on the effect of blow-suction breathing training device applied to the patients with stable chronic obstructive pulmonary disease in the community
Objective To explore the practical value and safety of blow-suction breathing training device applied to the patients with stable chronic obstructive pulmonary disease(COPD)in the community.Methods A total of 90 patients with stable chronic obstructive pulmonary disease were selected.They were randomly divided into an experimental group(44 cases)and a control group(46 cases).The control group underwent routine breathing training,and the experimental group underwent breathing training with blow-suction breathing training device.Comparison was made on pulmonary function indexes[forced expiratory volume in one second as a percentage of the expected value(FEV1%pred),ratio of forced expiratory volume in the first second to forced vital capacity(FEV1/FVC)],6-min walking distance(6MWD),frequency of acute exacerbations and adverse events between the two groups.Results After intervention,FEV1%pred and FEV1/FVC increased in both groups compared with those before intervention;the experimental group had FEV1%pred of(66.98±10.12)%and FEV1/FVC of(59.22±9.47)%,which were higher than(58.10±5.01)%and(51.09±8.21)%in the control group;the difference was statistically significant(P<0.05).After intervention,6MWD in both groups increased compared with that before intervention,and the experimental group had longer 6MWD of(340.98±38.19)m than(322.14±38.91)m in the control group.The difference was statistically significant(P<0.05).During the follow-up period,the number of acute exacerbations was 2 person-time in the experimental group and 2 person-time in the control group,and there was no statistical significance between the groups(P>0.05).No adverse events occurred in either group.Conclusion Blow-suction breathing training device shows significant effect in the pulmonary rehabilitation treatment of patients with stable chronic obstructive pulmonary disease in the community.

Stable chronic obstructive pulmonary diseaseBlow-suction breathing training devicePulmonary rehabilitation

于明霞、王淑贤、甘静雯、林蕊艳

展开 >

101100 北京市通州区梨园社区卫生服务中心

101149 首都医科大学附属北京潞河医院呼吸科

慢性阻塞性肺疾病稳定期 可吹可吸型呼吸训练器 肺康复

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(10)
  • 7