呼吸肌功能锻炼对慢性阻塞性肺疾病缓解期患者生活质量及肺功能的影响

Influence of respiratory muscle training on quality of life and pulmonary function of patients with chronic obstructive pulmonary disease during remission stage

目的探讨呼吸肌功能锻炼对慢性阻塞性肺疾病（COPD）缓解期患者生活质量及肺功能的影响。方法选取COPD缓解期患者110例，由专科护士指导其进行呼吸肌功能锻炼。记录锻炼前后患者的呼吸及心跳频率变化情况、FEVI％、FEVl／FVC、肺活量、最大通气量、时间通气量以及氧分压。由医护人员及患者共同完成生活质量评定量表的测评。结果经过呼吸肌功能锻炼，患者的呼吸频率及心跳频率较锻炼前均有所下降，呼吸功能得到有效改善，生活质量得到有效提升。各项指标锻炼前后比较差异显著。结论呼吸肌功能锻炼可以有效改善COPD缓解期患者生活质量及肺功能，值得临床推广。

Objective To investigate the effect of respiratory muscle training on quality of life and pulmonary function of patients with chronic obstructive pulmonary disease during remission stage. Methods 110 patients with chronic obstructive pulmonary disease in remission stage were chosen. They were instructed by the specialist nurses for training of respiratory muscle function. The respiratory rate, heart rate, FEVI%, FEV1/FVC, vital capacity, maximum voluntary ventilation, time ventilation and partial pressure of oxygen before and after exercise were recorded. The quality of life rating scale was completed by the medical staff and patients. Results By the respiratory muscle training, the patient＇s breathing rate and heart rate had declined compared with before exercise. The respiratory function had got effective improvement. The quality of life improved significantly. There were significant differences before and after the training. Conclusions Respiratory muscle training can improve the quality of life and lung function in patients with chronic obstructive pulmonary disease in remission stage, which is worthy of wide promotion.