呼吸康复对慢性阻塞性肺疾病稳定期患者生活质量改善的影响

INFLUENCE OF PULMONARY REHABILITATION ON LIFE QUALITY IMPROVEMENT IN STABLE PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

目的探讨呼吸康复治疗对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定期患者生活质量的影响。方法对80例COPD稳定期患者给予体能锻炼、呼吸肌锻炼、氧疗、心理与行为干预等呼吸康复治疗措施,治疗6个月,治疗前后分别进行肺功能、体重指数、6min步行测验、英国医学研究委员会呼吸困难评分(MMRC)和日常生活活动能力(ADL)二个量表进行评估。结果干预6个月后患者BODE指数中体重指数、肺功能有改善(P<0.05);6min步行测验、MMRC和ADL较治疗前有显著改善(P<0.01)。结论呼吸康复治疗可提高COPD稳定期患者的运动耐力,提高ADL,改善生活质量。

Objective To explore the effect of pulmonary rehabilitation therapy on quality of life in stable patients with chronic obstructive pulmonary disease. Methods Totally 80 COPD patients received pulmonary rehabilitation therapy for 6 months such as physical training, breath muscles functional training, long - term oxygen therapy and psychosocial and behavior therapy. The patients＇ BMI, lung function, 6MWD （exercise tolerance）, modified medical research council dyspnea scale（MMRC） and activities of daily living （ADL）were measured before and after the intervention. Results Later six months treatment, the patients Bode index, BMI, lung function were relieved obviously（P〈0.05）. 6MWD（exercise tolerance）, MMRC, ADL were significantly improved（P〈0. 01） symptom of dyspnea. Conclusion Pulmonary rehabilitation can improve stable COPD patients＇ exercise tolerance,ability of daily living and life satisfaction, and improve patients＇ quality of life.