老年COPD、肺心病缓解期患者呼吸体操锻炼的效果

EFFECTS OF BREATHING EXERCISE ON ELDERLY WITH COPD AND COR PULMONALE PATIENTS IN PARACMASIS

目的：探讨慢性阻塞性肺疾病（ＣＯＰＤ）、肺心病缓解期患者的康复治疗方法。方法：选择≥６０岁ＣＯＰＤ和肺心病患者２２４例，随机分成２组。第１组行呼吸体操锻炼，第２组服安慰剂。另≤５９岁ＣＯＰＤ、肺心病患者４５例组成第３组，也行呼吸体操锻炼。以呼吸压和跨膈压为主要评价指标；辅以肺功能、血气分析和生命质量评估。结果：第１组锻炼后最大呼吸压、最大跨膈压、肺功能、血气和生命质量均有显著改善，与第３组结果相一致；而第２组无显著变化。结论：呼吸体操能提高呼吸肌肌力，改善呼吸功能，是ＣＯＰＤ、肺心病缓解期的有效康复手段。

Objective:To study rehabilitation methods for COPD and cor pulmonale patients in paracmiasis.Methods:Two hundred sixty nine patients with COPD and cor pulmonale were randomly divided into three groups:G 1,G 2 and G 3.G 1:breathing exercise group consisted of 120 cases of ≥ 60 years old;G 2:control group consisted of 104 cases of ≥ 60 years old,who were given placebo;G 3:breathy exercise group consisted of 45 cases of ≤ 59 years old.Results:After three months,reexamination was done.Maximum inspiratory pressure(MIP),maximum expiratory pressure(MEP),maximum transdiaphragmatic pressure(Pdi max ),FVC,FEV 1,FEV 1/FVC %,PEFR,PaCO 2,PaO 2,SaO 2 and quality of life of G 1 improved significantly,while G 2 all of the check courses have no change.G 3 have been significantly improved except FVC,PEFR,PaCO 2,and quality of life of G 3 was significantly improved.Conclusion:The breathing exercise is able to improve the strength of respiratory muscles and lung function.It is a good method of rehabilitation in elderly patients with cor pulmonale and COPD.