机械通气治疗后COPD病人的呼吸功能和体能锻炼的研究

Study on Respiratory Function and Body Strength Recovery Exercises with COPD Patients Treated by Mechanical Ventilation

我们对１３ 例慢性阻塞性肺气肿合并呼吸衰竭的病人，在急性危重期经机械通气抢救治疗后，给予一周的呼吸功能和体能恢复锻炼，与１１ 例对照组比较，经ｘ２ 检验结果表明：实验组比对照组的住院日缩短了１２ 天；体能恢复方面，即１２ ｍｉｎ 行走距离（ｍ） 测定，表明实验组的体能明显增加；用美国 Ｂａｒｔｈｅｌ 指数分析法对生活质量（ Ａ Ｄ Ｌ） 评估，对照组只达到了“中”的水平，有功能障碍，稍依赖，实验组则达到了“良”的水平，提高了生活质量；呼吸功能方面所示：实验组的肺泡通气功能未下降，提高了呼吸效率，维持了适当的气体交换和缓解了呼吸困难。

We observed 13 cases of COPD complicated with respiratory failure patients after treated by mechanical ventilation at serious stage given one week respiratory function and body strength recovery exercises compared with 11 controlled group.The result showed by x 2 test:the period of in-hospital of experimental group was shorter 12 days than that of the controlled group.In recovery of body strenth from 12 min walking distance(m) indicated:experimental group was obviously increased.We evaluated to living quality (ADL) by America Barthel index analysis method.The controlled group only reach “middle” level.There was functional obstacle,a little dependent.The experimental group was reach “good” level,increasing living quality.In respiratory function showed:ventilation function of alveolar in experiment group was not decrease,raised breathing effect,had maintained proper gas exchange and remissioned dyspneic respiration.