COPD缓解期患者实施呼吸训练对改善肺功能及生存质量的影响分析

Analysis of Impact of Respiratory Trainings on Improvement of Pulmonary Function and Quality of Life among Patients in Remission Stage of COPD

目的探讨慢性阻塞性肺疾病(COPD)缓解期患者实施呼吸训练对改善肺功能及生存质量(QOL)的影响。方法按照随机数字表法随机将80例COPD缓解期患者分为干预组和对照组各40例,两组患者均给予常规内科治疗,干预组在此基础上采用呼吸训练。观察周期为6个月,分别采用FVC、FEV1.0、V50、V25与ADL量表评价肺功能及生存质量(QOL),比较两组患者的肺功能及生存质量(QOL)。结果治疗6个月后,干预组患者FVC、FEV1.0、V50、V25水平均有不同程度的改善(P<0.05,P<0.01),而对照组各项指标水平差异无统计学意义,干预组治疗后较对照组差异有统计学意义(P<0.01);治疗1个月ADL量表评分变化不明显;治疗3、6个月时干预组评分呈现降低趋势,较治疗前,对照组差异有统计学意义(P<0.05)。结论慢性阻塞性肺疾病(COPD)缓解期患者采用呼吸训练可以有效改善其肺功能及生存质量状况,单纯应用药物治疗不能达到以上效果。

Objective To analyze the impact of respiratory training on the improvement of pulmonary functions and quality of life（QOL）among patients in remission stage of Chronic Obstructive Pulmonary Disease （COPD）. Methods 80 cases of COPD in remission stage were randomly divided into intervention group and control group with 40 cases in each by the method of random numbers. Both groups were given routine treatment and the intervention group was given extra respiratory training. The observation period was 6 months, FVC, FEV1.0 , V50 , V25 and ADL scale were used respectively to assess the pulmonary function and QOL in two groups for comparison. Results After 6 months of treatment,FVC,FEV1.0 ,V50 ,V25 levels of patients in the intervention group improved in different degrees（P〈0.05, P〈0.01）, while in the control group, there was no significant difference between each target level（P〈0.01）. After treatment,compared with control group,there was statistically significant difference in intervention group（P〈0.01） ;Treated for 1 month, ADL scale score did not change significantly;but the score of the intervention group decreased at treatment for 3,6 months. Compared with before treatment and the control group there were significant statisticaldifference（P〈0.05）. Conclusions By adopting respiratory training,COPD patients at remission stage can have effectively improved pulmonary function and QOL which can＇t be achieved by simple drug therapy.