肺功能康复训练对慢阻肺患者呼吸功能、肺功能及运动耐力的影响

Effect of Pulmonary Function Rehabilitation Training on Respiratory Function,Pulmonary Function and Exercise Endurance in Patients with Chronic Obstructive Pulmonary Disease

目的探讨肺功能康复训练对慢阻肺患者的肺功能、呼吸功能以及运动耐力的影响.方法选择该院2020年1月—11月收治的慢阻肺患者80例为研究对象,按照随机数表法分为两组.对照组40例采取常规治疗与管理干预,试验组40例采取常规治疗与管理联合肺功能康复训练干预,两组均干预4周.评价两组干预前后的肺功能、呼吸功能与运动耐力.结果干预前,两组的呼吸肌表面肌电图均方根(root mean square,RMS)值与6 min步行测试(6-minute walk test,6MWT)比较,组间差异无统计学意义(P>0.05);干预后,试验组的呼吸肌表面肌电图RMS值(8.75±1.54)μV与6MWT(350.75±34.94)m均优于对照组,组间差异有统计学意义(P<0.05).干预前,两组的各项肺功能指标水平比较,组间差异无统计学意义(P>0.05);干预后,试验组的第1秒用力呼气容积、用力肺活量及1秒率水平均高于对照组,组间差异有统计学意义(P<0.05).结论对慢阻肺患者采用肺功能康复训练干预,能够有效提高患者的肺功能、呼吸功能及运动耐力,对促进患者康复以及改善患者预后有显著意义,值得临床推广.

Objective To explore the effects of pulmonary function rehabilitation training on pulmonary function,respiratory function,and exercise endurance in patients with chronic obstructive pulmonary disease.Methods 80 patients with chronic obstructive pulmonary disease admitted to the hospital from January to November 2020 were selected as the research objects,and they were divided into two groups according to the random number table method.In the control group,40 cases were treated with conventional treatment and management intervention,and in the experimental group,40 cases were treated with conventional treatment and management combined with pulmonary function rehabilitation training intervention,and both groups were intervened for 4 weeks.The pulmonary function,respiratory function and exercise endurance of the two groups before and after the intervention were evaluated.Results Before the intervention,there were no statistically significant differences between the two groups in the root mean square(RMS)values of the surface EMG of the respiratory muscles and the 6-minute walk test(6MWT)(P>0.05);after the intervention,the respiratory muscle surface EMG RMS values(8.75±1.54)μV and 6MWT(350.75±34.94)m in the experimental group were better than those in the control group,and the differences between the groups were statistically significant(P<0.05).Before the intervention,there was no statistically significant difference between the two groups when comparing the levels of various pulmonary function indexes(P>0.05);after the intervention,the levels of forced expiratory volume in one second,forced vital capacity and one-second rate in the experimental group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The use of pulmonary rehabilitation training intervention for patients with chronic obstructive pulmonary disease can effectively improve patients'pulmonary function,respiratory function and exercise endurance,which has significant significance in promoting patients'recovery and improving their prognosis,and is worthy of clinical promotion.