呼吸康复训练治疗在慢性阻塞性肺疾病中应用的疗效分析

Effect of respiratory rehabilitation on patients with chronic obstructive pulmonary disease

目的探讨呼吸康复训练治疗在慢性阻塞性肺疾病中的应用疗效。方法 38例COPD患者分为呼吸康复治疗组(观察组)20例和对照组18例,观察组给予12周的家庭氧疗,同时配合呼吸康复训练治疗,对照组给予12周的家庭氧疗,评价肺功能[用力肺活量(FVC)、第1秒用力呼气容积(FEV1)],改良的英国mMRC评分、6MWT试验评分来评估两组患者肺功能、呼吸困难程度和日常活动能力的改善。结果经过12周的治疗后,观察组FVC、FEV1、改良的英国mMRC评分、6MWT试验评分的提高较对照组有明显改善(P<0.05)。结论呼吸康复训练治疗慢性阻塞性肺疾病与对照组相比,能显著改善患者肺功能、运动耐力及呼吸困难指数。呼吸康复治疗配合长期氧疗是一种简易有效的干预方法。

Objective To observe the effect of respiratory rehabilitation in patients with Chronic obstructive pulmonary disease （COPD）. Methods A total of 38 COPD patients were randomly into two groups including the observation group with respiratory rehabilitation and long-term domiciliary oxygen therapy 12 weeks, the control group with long-term domiciliary oxygen therapy 12 weeks. The score of pulmonary function and 6MWT and mMRC were tested to evaluate the improvement of pulmonary function, dyspnea index, activity of daily living. Results The score of pulmonary function and dyspnea index and activity of daily living in group with respiratory rehabilitation and long-term domiciliary oxygen therapy 12 weeks were obvious enhances compared to the group with long-term domiciliary oxygen therapy 12 weeks （P 〈 0.05）. Conclusion The respiratory rehabilitation in patients with COPD could increase the score of pulmonary function and dyspnea index and activity of daily living. The method of respiratory rehabilitation is superior to the oxygen therapy, the respiratory rehabilitation and long-term domiciliary oxygen therapy is a simple and effect method.