阻力呼吸训练器联合缩唇腹式呼吸训练对慢性阻塞性肺疾病患者血气分析指标及肺功能的影响

Effect of Resistance Breathing Trainer Combined with Labial Abdominal Breathing Training on Blood Gas Analysis indexes and Lung Function in Patients with Chronic Obstructive Pulmonary Disease

目的探讨阻力呼吸训练器联合缩唇腹式呼吸训练在慢性阻塞性肺疾病(COPD)患者中的应用效果.方法选择2020年1月—2021年8月枣庄市精神卫生中心台儿庄院区老年病一科收治的COPD患者86例,按随机数字表法分为两组,各43例.对照组行缩唇腹式呼吸训练,观察组在对照组基础上联合阻力呼吸训练器,两组均训练6个月.对比两组血气分析指标水平、肺功能.结果训练6个月后,观察组二氧化碳分压低于对照组,氧分压高于对照组,组间差异有统计学意义(P<0.05).训练6个月后,观察组用力肺活量、第1秒用力呼气容积均大于对照组,FEV1占预计值百分比高于对照组,组间差异有统计学意义(P<0.05).结论阻力呼吸训练器联合缩唇腹式呼吸训练在COPD患者中具有较好的应用效果,利于改善血气分析指标水平及肺功能.

Objective To explore the application effect of resistance breathing trainer combined with labial abdominal breathing training in patients with chronic obstructive pulmonary disease(COPD).Methods 86 patients with COPD admitted to the First Department of Geriatrics,Taierzhuang Hospital of Zaozhuang Mental Health Center from January 2020 to August 2021 were selected and divided into two groups according to the random number table method,with 43 patients in each group.The control group was treated with labial abdominal breathing training,and the observation group was combined with resistance breathing trainer on the basis of the control group.Both groups were trained for 6 months.Blood gas analysis index level and lung function were compared between the two groups.Results After 6 months of training,the partial pressure of carbon dioxide in the observation group was lower than that in the control group,and the partial pressure of oxygen was higher than that in the control group,the differences between the groups were statistically significant(P<0.05).After 6 months of training,the forced vital capacity,forced expiratory volume in one second and FEV1 as a percentage of expected value in the observation group after training were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The resistance breathing trainer combined with labial abdominal breathing training has a good application effect in COPD patients,which is conducive to improving the blood gas analysis index level and lung function.