首页|肺功能康复训练对COPD稳定期患者生活质量和肺功能的影响研究

肺功能康复训练对COPD稳定期患者生活质量和肺功能的影响研究

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目的 观察慢性阻塞性肺疾病(COPD)稳定期患者采取肺功能康复训练对其生活质量和肺功能的影响。方法 70 例COPD稳定期患者,以随机数字表法分成对照组、研究组,各 35 例。对照组给予常规指导,研究组则给予针对性的肺功能康复训练。比较两组干预前后的肺功能指标、Borg呼吸困难指数、生活质量评分,康复效果及干预 3 个月内急性发作率。结果 研究组干预前呼吸频率、血氧饱和度、血氧分压、每分钟最大通气量、Borg呼吸困难指数、生活质量评分分别为(24。37±1。26)次/min、(95。11±0。92)%、(87。62±3。42)mm Hg(1 mm Hg=0。133 kPa)、(40。79±7。19)L/min、(4。54±0。45)分、(81。51±9。96)分,干预后分别为(18。64±1。08)次/min、(98。46±0。32)%、(93。51±2。48)mm Hg、(55。58±5。73)L/min、(1。19±0。21)分、(92。41±2。37)分;对照组干预前呼吸频率、血氧饱和度、血氧分压、每分钟最大通气量、Borg呼吸困难指数、生活质量评分分别为(24。46±1。31)次/min、(95。20±0。99)%、(88。07±3。38)mm Hg、(41。15±5。33)L/min、(4。59±0。46)分、(81。59±10。89)分,干预后分别为(21。16±1。46)次/min、(97。31±0。51)%、(91。42±2。06)mm Hg、(52。42±4。91)L/min、(2。04±0。31)分、(86。17±6。45)分。干预前,两组呼吸频率、血氧饱和度、血氧分压、每分钟最大通气量、Borg呼吸困难指数、生活质量评分比较无显著差异性(P>0。05)。干预后,两组呼吸频率、Borg呼吸困难指数较干预前降低,而血氧饱和度、血氧分压、每分钟最大通气量及生活质量评分均较干预前更高;研究组呼吸频率、Borg呼吸困难指数较对照组更低,而血氧饱和度、血氧分压、每分钟最大通气量及生活质量评分均较对照组更高,具有显著的差异性(P<0。05)。研究组患者干预后的肺功能康复总有效率 100。00%高于对照组的 82。86%,而干预 3 个月内急性发作率 2。86%低于对照组的 22。86%,具有显著的差异性(P<0。05)。结论 COPD稳定期患者给予肺部康复训练,可显著改善患者的肺部功能指标,减轻呼吸疲劳程度,改善生活质量,获得理想的康复效果,并可降低康复后急性发作频率,效果理想。
Study on impact of lung function rehabilitation training on the quality of life and lung function of patients with stable chronic obstructive pulmonary disease
Objective To observe the impact of lung function rehabilitation training on the quality of life and lung function of patients with stable chronic obstructive pulmonary disease(COPD).Methods 70 patients with stable chronic obstructive pulmonary disease(COPD)were divided into a control group and a study group according to random numerical table,with 35 patients in each group.The control group received routine guidance,and the study group received lung function rehabilitation training.The lung function index,Borg dyspnea index and quality of life score before and after intervention,rehabilitation effect,and acute attack rate within 3 months after guidance were compared between the two groups.Results In the study group,the respiratory rate,blood oxygen saturation,blood oxygen partial pressure,maximal voluntary ventilation,Borg dyspnea index and quality of life score before intervention were(24.37±1.26)times/min,(95.11±0.92)%,(87.62±3.42)mm Hg(1 mm Hg= 0.133 kPa),(40.79±7.19)L/min,(4.54±0.45)points and(81.51±9.96)points;after intervention,they were(18.64±1.08)times/min,(98.46±0.32)%,(93.51±2.48)mm Hg,(55.58±5.73)L/min,(1.19±0.21)points and(92.41±2.37)points.In the control group,the respiratory rate,blood oxygen saturation,blood oxygen partial pressure,maximal voluntary ventilation,Borg dyspnea index and quality of life score before intervention were(24.46±1.31)times/min,(95.20±0.99)%,(88.07±3.38)mm Hg,(41.15±5.33)L/min,(4.59±0.46)points and(81.59±10.89)points;after intervention,they were(21.16±1.46)times/min,(97.31±0.51)%,(91.42±2.06)mm Hg,(52.42±4.91)L/min,(2.04±0.31)points and(86.17±6.45)points.Before intervention,there were no significant differences in respiratory rate,blood oxygen saturation,blood oxygen partial pressure,maximal voluntary ventilation,Borg dyspnea index and quality of life score between the two groups(P>0.05).After intervention,the respiratory rate and Borg dyspnea index in both groups were lower than those before intervention,while the blood oxygen saturation,blood oxygen partial pressure,maximal voluntary ventilation and quality of life score were higher than those before intervention;the respiratory rate and Borg dyspnea index in the study group were lower than those in the control group;the blood oxygen saturation,blood oxygen partial pressure,maximal voluntary ventilation and quality of life score in the study group were higher than those in the control group;there were significant differences(P<0.05).The total effective rate of lung function rehabilitation in the study group was 100.00%,which was higher than 82.86%in the control group,while the acute attack rate of 2.86%within 3 months after intervention was lower than 22.86%in the control group.There were significant differences(P<0.05)Conclusion Lung function rehabilitation training in patients with stable COPD can significantly improve lung function indicators,reduce respiratory fatigue,improve quality of life,achieve ideal rehabilitation effects,and reduce the frequency of acute attack after rehabilitation.The effect is ideal.

Chronic obstructive pulmonary diseaseStable phaseLung function rehabilitation trainingQuality of lifeLung function

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365501 三明市沙县区夏茂中心卫生院

慢性阻塞性肺疾病 稳定期 肺功能康复训练 生活质量 肺功能

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(8)
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