五音呼吸操康复训练在慢性阻塞性肺疾病稳定期患者康复治疗中的应用研究

Application of Five Tone Breathing Exercise Rehabilitation Training in the Rehabilitation Treatment of Stable Patients with Chronic Obstructive Pulmonary Disease

目的探讨五音呼吸操康复训练在慢性阻塞性肺疾病(COPD)稳定期患者康复治疗中的应用研究。方法选取山东颐养健康集团莱芜中心医院2021年3月—2022年4月收治的98例COPD稳定期患者为研究对象,按照随机数字表法将其分为对照组与观察组。对照组(n=49)采用常规康复运动训练,观察组(n=49)在对照组基础上采用五音呼吸操康复训练,两组均维持训练30 d。对比两组患者呼吸困难严重程度、肺功能指标、6 min步行距离(6MWD)、生命质量。结果治疗30 d后,观察组的改良版英国医学研究会呼吸问卷、慢阻肺综合评估测评评分分别为(2.12±0.48)分、(12.09±2.12)分,均低于对照组的(2.57±0.69)分、(18.66±2.41)分,观察组的6MWD(389.77±111.71)m长于对照组的(361.42±100.58)m,用力肺活量、第1秒用力呼气容积分别为(2.10±0.51)L、(2.31±0.54)L,均大于对照组的(1.71±0.49)L、(1.82±0.49)L,组间差异有统计学意义(P<0.05)。结论五音呼吸操康复训练更加系统、全面,能够有效提高患者肺功能指标,提升COPD稳定期患者的运动能力,改善其生命质量。

Objective To investigate the application of five-tone breathing exercises in the rehabilitation treatment of patients with chronic obstructive pulmonary disease(COPD)at stable stage.Methods 98 patients with stable COPD treated in Laiwu Central Hospital of Shandong Nursing and Health Group from March 2021 to April 2022 were selected as the study objects and divided into a control group and an observation group according to random number table method.The control group(n=49)received routine rehabilitation exercise training,and the observation group(n=49)received five-tone breathing exercise rehabilitation training on the basis of the control group,and both groups maintained 30 days of training.The severity of dyspnea,lung function index,6 min walking distance(6MWD)and quality of life were compared between the two groups.Results After 30 days of treatment,the modified British Medical Research Council respiratory questionnaire and COPD Comprehensive Assessment Scores of the observation group were(2.12±0.48)points and(12.09±2.12)points,respectively,which were lower than(2.57±0.69)points and(18.66±2.41)points of the control group.The 6MWD of the observation group was(389.77±111.71)m was longer than(361.42±100.58)m of the control group,and the forced vital capacity and forced expiratory volume in one second were(2.10±0.51)L and(2.31±0.54)L in the control group,which were greater than(1.71±0.49)L and(1.82±0.49)L in the control group,and the differences between the two groups were statistically significant(P<0.05),the differences between the two groups were statistically significant(P<0.05).Conclusion Five-tone breathing exercise rehabilitation training is more systematic and comprehensive,which can effectively improve the pulmonary function index of patients,enhance the exercise ability of patients with stable COPD,and improve their life quality.