肺康复治疗在慢性阻塞性肺疾病中的临床对照研究

Clinical study on effect of lung rehabilitation therapy for patients with chronic obstructive pulmonary disease

目的采用对照研究的方法观察总结肺康复治疗在慢性阻塞性肺疾病(COPD)中的临床疗效。方法将58例COPD患者随机分为治疗组和对照组各29例,两组患者均给予COPD常规治疗,如祛痰、平喘等药物治疗,治疗组在此基础上配合肺康复治疗。主要包括有氧运动、胸部物理治疗、氧气治疗等。规律治疗6个月,进行相关指标检测。结果两组患者在治疗前及治疗后的肺功能检测第1秒用力呼气率(FEV1/FVC)、第1秒用力呼气量(FEV1%)、动脉血气分析、6 min步行实验进行对比,统计资料显示治疗组、对照组指标均有改善,且治疗组改善幅度明显高于对照组,差异均具有显著性(P<0.05)。结论肺康复治疗在COPD治疗中起到了改善患者肺功能、提高生活质量及运动耐力的作用。

Objective A controlled study on rehabilitation therapy for patients with chronic obstructive pulmonary disease （COPD）had been carried out and its clinical effect was evaluated. Methods A total of 58 cases of COPD were randomly allocated into trial group and control group, and 29 cases in each group. Patients in both groups were given with conventional medication for COPD as expectorants, asthma relieving drugs etc. Patients in trial group were additionally aided with lung rehabilitation therapy including aerobic exercise, chest physiotherapy and oxygen therapy for six months. All patients in both groups were examined with relevant indicators for comparison after treatment for 6 months. Results Pa- tients in both groups were examined for lung function test for FEV1/FVC, FEVI%, blood gas analysis and test for 6 minutes walking before and after treatment. The data of patients in these two groups were statistically analyzed, their results demonstrated that indicators in patients of both groups were improved, but the degree of improvement in patients of trial group was significantly higher than that of control group, and the difference was significant （ P 〈 0. 05 ）. Conclusion The lung rehabilitation therapy in patients with COPD can improve their lung function, quality of life and endurance.