综合性肺康复治疗对煤工尘肺患者的效果评价

Effect evaluation of comprehensive pulmonary rehabilitation on patients with coal workers pneumoconiosis

目的评价综合性肺康复治疗对煤工尘肺患者的康复效果。方法选取煤工尘肺患者80例,随机分为治疗组40例和对照组40例,治疗组在常规治疗的同时给予运动训练、健康教育、营养指导及心理与行为干预等综合性肺康复治疗措施,疗程6个月;对照组仅予常规治疗,观察治疗前后两组患者呼吸困难评价、生活质量评分、6 min步行距离及肺功能,并做统计学分析。结果治疗组治疗前后呼吸困难评价、生活质量评分、6 min步行距离及肺功能改善比较差异有统计学意义(P<0.05);两组患者治疗后呼吸困难评价、生活质量评分、6 min步行距离及肺功能改善比较差异有统计学意义(P<0.05)。结论综合性肺康复治疗煤工尘肺患者疗效确切,可明显改善患者症状,提高生存质量,增加运动耐量,且安全性好,未发现不良反应。

Objective To evaluate the effect of comprehensive pulmonary rehabilitation on patients with coal workers pneumoconiosis.Methods Eighty cases of coal workers pneumoconiosis were randomly divided into treatment group（40 cases） and control group（40 cases）.The treatment group received sports training,health education and nutritional guidance and comprehensive pulmonary rehabilitation measures such as mental and behavior intervention based on the conventional treatment; the treatment lasted for 6 months.The control group only received routine treatment.The dyspnea assessment,quality of life score,6 minutes walking distance and lung function were observed before and after treatment between the two groups,and make statistical analysis.Results The quality of life score,6 minutes walking distance and lung function improvement were significantly different before and after treatment in treatment group（P 〈0.05）.After treatment,the dyspnea assessment,quality of life score,6 minutes walking distance and lung function improvement were significantly different between the two groups（P 〈0.05）.Conclusion Comprehensive pulmonary rehabilitation in patients with coal workers pneumoconiosis has curative effect.It can significantly improve symptoms,improve the quality of survival,increase exercise tolerance,and it is also safe,with no adverse reaction.