长期家庭氧疗联合呼吸操训练在慢性阻塞性肺疾病稳定期中的临床应用

Long-term home oxygen therapy combined with breathing exercise training on clinical application of chronic obstructive pulmonary disease stabilization

目的观察长期家庭氧疗(LTDOT)联合呼吸操训练对中重度慢性阻塞性肺疾病稳定期患者生活质量的影响。方法选择2009年11月-2010年11月62例中重度COPD稳定期患者,随机分为LTDOT组(19例)、呼吸操组(21例)和LTDOT+呼吸操组(22例)。3组患者分别于治疗前、治疗12个月后进行血气分析、生活质量CAT评估、6min步行距离(6MWD)、肺动脉压检测。结果 3组患者治疗前血气分析、生活质量CAT评估、6MWD、肺动脉压检测各项指标比较差异均无统计学意义(P>0.05);LTDOT组及LTDOT+呼吸操组患者12月后血气分析、生活质量CAT评估、肺动脉压、6MWD较治疗前差异均有统计学意义(P<0.05),且以LTDOT+呼吸操组更显著。呼吸操组在改善生活质量CAT评估、6MWD及血气分析方面差异有统计学意义(P<0.05),但在降低肺动脉压方面差异无统计学意义(P>0.05)。结论家庭氧疗联合呼吸操训练治疗,较单纯长期家庭氧疗及单纯呼吸操训练能更好地改善COPD患者的运动能力和生活质量。

[ Objective ] Long-term home oxygen therapy （LTDOT） breathing exercise training on relation between quality of life of patients with chronic obstructive pulmonary disease stabilization. [ Methods ] In 2009 November to 2010 November 62 patients with moderate to severe COPD patients in stable phase, were randomLy divided into LTDOT group （19 cases）, respiratory exercise group （21 cases） and LTDOT＋ group （22 cases） of breathing exercises.Three groups of patients were determined before and 12 months after treatment,blood gas analysis, quality of life evaluation of CAT, 6 rain walking distance （6 MWDS）, pulmonary artery pressure test. [ Resluts ] three groups of patients before blood gas analysis, quality of life the CAT assessment,6 min walking distance （6 MWDS）, pulmonary artery pressure testing the indicators to compare differences had no statistical significance （P〉0.05）; LTDOT and LTDOT ＋ breathing exercise group patients after December blood gas analysis,life quality evaluation,pulmonary artery pressure,and the CAT 6 minutes walking distance from all have significant difference before treatment （P〈0.05）,and to LTDOT ＋ breathing exercise group were more significant. Breathing exercise group in improving quality of life evaluation of CAT,6 minutes walking distance and blood gas analysis shows significant difference （P〈0.05）,but in lower pulmonary artery pressure has no significant difference （P〉0.05）. [ Conclusions ] Long-term home oxygen therapy （LTDOT） combined with breathing exercise training treatment, a simple home oxygen therapy and simple breathing exercise training can better improve sports ability and quality of life in COPD patients.