肺呼吸康复治疗对COPD稳定期患者运动耐量和肺功能的影响

Effect of Pulmonary Respiratory Rehabilitation Treatment on Exercise Tolerance and lung Function of Patients with COPD at Stable Stage

目的探究慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定期患者采用肺呼吸康复治疗对其运动耐量和肺功能的影响.方法选取该院2019年3月—2020年5月收治的128例COPD稳定期患者,将其随机分为观察组64例及对照组64例,予以对照组患者常规药物治疗,予以观察组患者常规药物治疗联合肺呼吸康复治疗,均持续治疗6个月.分别于治疗前后评估两组患者的呼吸困难症状、整体状态、肺功能指标、运动耐量及生活质量,并进行比较.结果治疗后,观察组的改良英国医学研究学会呼吸困难指数评分、COPD评估测试评分均低于对照组,组间差异有统计学意义(P<0.05);两组第1秒用力呼气容积、第1秒用力呼气容积占预计值的百分比、第1秒用力呼气容积占用力肺活量的比值进行比较,观察组均高于对照组,组间差异有统计学意义(P<0.05);观察组的6 min步行试验长于对照组,慢性病患者生命质量测定量表体系之COPD量表评分高于对照组,组间差异有统计学意义(P<0.05).结论COPD稳定期患者采用西药联合肺呼吸康复治疗,可以缓解其呼吸困难症状,改善其肺功能,提高其运动耐量.

Objective To explore the effects of pulmonary respiratory rehabilitation treatment on exercise tolerance and lung function in patients with chronic obstructive pulmonary disease(COPD)at stable stage.Methods A total of 128 patients with stable COPD who were admitted to the hospital from March 2019 to May 2020 were selected and randomly divided into an observation group of 64 cases and a control group of 64 cases.Patients in the control group were treated with conventional medications,and patients in the observation group were treated with conventional medications combined with pulmonary and respiratory rehabilitation,and the treatment continued for 6 months.The dyspnea symptoms,overall status,lung function indexes,exercise tolerance and quality of life of the two groups of patients were evaluated before and after treatment,and compared.Results After treatment,the Modified British Medical Research Council scores and COPD assessment test scores of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05);the two groups were compared with the forced expiratory volume in one second,forced expiratory volume in one second as a percentage of expected value,and the ratio of the forced expiratory volume in one second to the forced vital capacity,the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).The 6 minute walking test of the observation group was longer than that of the control group,and the Quality of Life Instruments for Chronic Diseases-COPD score was higher than that of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The use of western medicine combined with pulmonary respiratory rehabilitation treatment for patients with COPD at stable stage can relieve their dyspnea symptoms,improve their lung function,and improve their exercise tolerance.