综合性肺康复对稳定期COPD患者肺功能的影响

Effects of comprehensive pulmonary rehabilitation on pulmonary function of COPD patients in stable phase

目的：研究综合性肺康复对稳定期COPD患者肺功能的影响。方法：选择稳定期COPD患者100例，随机分为对照组和实验组，2组患者在常规内科药物治疗的基础上分别接受单模式肺康复和综合性肺康复。训练前及训练后1个月、3个月、6个月及1年评定患者肺功能指标（ FEV1、FEV1％pre和FEV1／FVC％），并用独立样本t检验和重复测量方差分析对结果进行统计学分析。结果：2组患者治疗后1月、3月与治疗前比较，肺功能指标无明显差异，治疗后6月和1年肺功能指标则较治疗前有显著差异；同时，实验组患者的肺功能指标明显优于对照组，且具有统计学意义。结论：单模式肺康复和综合性肺康复均有改善COPD患者肺功能的作用，但综合性肺康复治疗方案优于单模式肺康复，且康复训练具有时间依赖性及累积效应，需长期坚持才能见效。

Objective：To observe the effects of comprehensive pulmonary rehabilitation on pulmonary function of COPD patients in sta-ble phase.Methods：One hundred COPD patients in stable phase were randomly divided into contrast group and experimental group.On the basis of routine medicine therapy, the patients in contrast group received single pattern pulmonary rehabilitation, while comprehensive pulmonary rehabilitation given patients in the experimental group.Pulmonary function including FEV1、FEV1%pre and FEV1/FVC%in each group were tested before and at the first month, third month, 6th month and first year after training.Independents-Samples T Test and Repeated measure analysis of variance （ ANOVA ） were used in analyzing pulmonary function at different time points.Results：There was no significant difference in pulmonary function in both groups before and at the first and third month after training.But the significant difference was existed after treatment for the sixth month and first year.Meanwhile, the pulmonary function in experimental group was higher than in contrast group＇s.Conclusion：Single pattern pulmonary rehabilitation and comprehensive pulmonary rehabilitation both could improve pulmonary function on COPD patients, but comprehensive pulmonary rehabilitation training program is better than single pattern pulmonary rehabilitation training program.What＇s more, rehabilitation training should be time dependent and cumulative effect, need to insist for a long time to work.