肺康复训练对慢性阻塞性肺疾病患者急性加重期的影响

Effects of pulmonary rehabilitation in acute exacerbation of chronic obstructive pulmonary disease

目的观察肺康复训练对慢性阻塞性肺疾病(COPD)急性加重期的临床疗效。方法 90例住院的COPD急性加重期患者随机分为试验组(45例)和对照组(45例),对照组采用常规治疗,试验组患者在常规治疗基础上进行肺功能康复训练。比较并分析2组患者治疗后肺功能变化、呼吸困难指数和6分钟步行距离的改善情况。结果 2组患者治疗后肺功能指标、呼吸困难指数和6分钟步行距离均较治疗前改善(P<0.05);与对照组比较,治疗后试验组患者呼吸困难指数和6分钟步行距离改善更为显著,差异有统计学意义(P<0.05)。结论肺功能康复训练能促进COPD急性加重期患者的康复。

Objective To investigate the effects of pulmonary rehabilitation on chronic obstructive pulmonary disease（COPD） during acute exacerbation（AECOPD）.Methods Ninety AECOPD patients were randomly divided into the test group and control group,with 45 cases in each group.The control group received conventional symptomatic treatments,and the test group received pulmonary rehabilitation additionally.Lung function,modified British Medical Research Council（mMRC）,six minutes walk distance（6MWD） before and after the treatment were observed and compared between two groups.Results There was statistical difference in lung function index,mMRC and 6MWD after treatment in the two groups.Compared with control group,the degree of dyspnea and 6MWD were significantly improved in test group（P〈0.05）.Conclusions Conventional pulmonary rehabilitation is effective in AECOPD patients.