慢性阻塞性肺疾病治疗中肺功能恢复治疗的作用

The curative effect of pulmonary rehabilitation in the treatment of COPD

目的探索慢性阻塞性肺疾病治疗中肺功能恢复治疗的作用。方法研究对象是从2004年3月至2005年3月的56例成人慢阻肺的同年龄层患者。年龄从61岁至75岁,平均65.8岁。男性37例,女性19例。我们对28例患者在介入治疗或内科系统治疗前后进行肺功能恢复治疗,并分别在不同时期间评估所有患者治疗前后的肺功能,对运动的耐受性,呼吸困难,生活质量等指标,并进行统计比较。结果28例A组患者中,1例患者是因为担心手术风险放弃进一步治疗,1例患者因进行功能恢复练习时出现病情加重因而终止治疗。坚持肺功能恢复治疗患者肺功能恢复有明显改善,经统计分析结果具有显著意义(P<0.01)。结论肺功能恢复治疗明显有利于慢性阻塞性肺部疾病患者治疗。为介入治疗提供可靠的病例筛选。经过肺功能恢复治疗患者的介入及内科治疗效果可进一步稳固提高。

Objective Explore the curative effect of COPD by pulmonary rehabilitation. Methods The study object were 56 case COPD patient from March 2004 to march 2005, age ranged from 61 to 75 years old, mean 65.8 years old. Male 37 cases, female 19 cases. 28 cases were treated by pulmonary rehabilitation before and after surgical interventions or continued medical management alone. Then respectively evaluate and analysis analyze the effect of pulmonary rehabilitation. Results In 28 cases group A, 1 case after rehabilitation program he was subsequently unwilling to accept the surgical risks. 1 case was subsequently found duriag pulmonary rehabilitation to be too fragile for surgery. After pulmonary rehabilitation the improvement of lung function, exercise level and quality of life was significant difference （P〈0.01）. Conclusions Pulmonary rehabilitation produced significant benefits for these patients with COPD and played an important role in the selection of appropriate patients for surgical interventions. The results demonstrates the effectiveness of pulmonary rehabilitation improved curative effect of COPD.