家庭肺康复干预对慢性阻塞性肺疾病患者肺功能和生活质量的影响

Effects of Home-Based Pulmonary Rehabilitation on Pulmonary Function and Life Quality in Patients with Chronic Obstructive Pulmonary Disease

目的探讨家庭肺康复干预对慢性阻塞性肺疾病出院患者肺功能及生活质量的影响。方法便利抽样选取2012年3月至2013年2月在长沙市中心医院呼吸内科经治疗后进入稳定期的慢性阻塞性肺疾病患者45例,给予肺康复锻炼指导,并监督实施。干预前后分别使用呼吸道疾病问卷修订版(the airways questionnaire 20,AQ20-R)和指脉氧饱和度、心率、最大峰流速3项肺功能指标进行评估,以评价干预效果。结果干预后3、6个月后,患者的心率、脉指氧饱和度、最大呼气峰流速值均有显著改善(P<0.05或P<0.01),AQ20-R评分明显下降(P<0.01)。结论家庭肺康复干预能降低心率,提高指脉氧饱和度和最大峰流速,改善患者生活质量。

Objective To explore the effects of the home-based rehabilitation on the pulmonary function and quality of life in patients with chronic obstructive pulmonary disease（ COPD）.Methods Totally 45 patients were randomly selected and received the guidelines of pulmonary rehabilitation training,and trained under supervision.Pulse oxygen saturation,heart rate,peak expiratory flow were evaluated by using the airways questionnaire 20,AQ20-R in both before intervention and after intervention.Results After 3 and 6 months intervention,pulse oxygen saturation,heart rate,peak expiratory flowwere significantly improved than before（ P〈0.05 or P〈0.01）,and the total scores of AQ20-R were lower than before（ P〈0.01）.Conclusion The home-based rehabilitation can significantly reduce the heart rate,increase the pulse oxygen saturation,heart rate,peak expiratory flow and improve the patient＇s quality of life.