改良呼吸操训练对慢性阻塞性肺疾病稳定期病人肺康复及生活质量的影响

Influence of improved breathing exercise training on pulmonary rehabilitation and quality of life of COPD patients in stabilization period

[目的]研究两种不同的呼吸功能训练方法对稳定期慢性阻塞性肺疾病(COPD)病人的影响。[方法]将稳定期COPD病人80例随机分为观察组41例、对照组39例。对照组仅予传统的呼吸训练,即腹式呼吸与缩唇式呼吸;观察组实施改良后的呼吸操,在传统呼吸训练的基础上综合了体能与耐力训练,实施"行走四步呼吸操"。统计病人出院6个月再发作次数及再次住院时间,使用慢性阻塞性肺疾病评估量表(CAT)评估病人出院后1个月、2个月、3个月和6个月的生活质量。[结果]呼吸训练后6个月观察组病人肺功能优于对照组,出院后6个月病人再发作次数、再住院时间明显低于对照组,差异有统计学意义(P<0.05);出院后1个月CAT评分两组差异无统计学意义,出院后2个月观察组CAT评分明显低于对照组(P<0.05),出院后3个月、6个月观察组CAT评分也低于对照组(P<0.001)。[结论]改良呼吸操训练呼吸的方法便捷,使病人更易接受,有效改善了肺功能,减少了发作次数,缩短了住院天数,提升了生活品质。

Objective：To research the influence of two different respiratory function training methods on COPD patients in stabilization period.Methods：A total of 80 COPD patients in stabilization period were randomly divided into experimental group with 41 cases and control group with 39 case.The patients in control group only received the traditional respiratory training,which was the abdominal breathing and pursed lip breathing;the patients in experimental group received the improved breathing exercise,which combined the physical agility and endurance training on the basis of traditional respiratory training,implementing the＂four step walk breathing exercise＂.The re-attacks number and readmitting time after discharging 6months were counted and using CAT to evaluate the quality of life of patients in a month,two months,three months and six months after discharging.Results：The patients＇ pulmonary function,seizure frequency and length of stay after 6months after respiratory training in experimental group was significantly better than that in control group;the difference was statistically significant（P〈0.05）;There was no statistically significant difference in CAF score in 1month after discharging,but the influence on patients＇ quality of life 2months after the implementation of improved breathing exercise was significantly higher than that in control group（P〈0.05）,and there was statistical significance in 3months,6months comparing with the control group（P〈0.001）.Conclusion：The respiratory training method of improved breathing exercise is convenient,so that the patients are more likely to accept it,it can effectively improve respiratory function,reduce the seizure frequency,shorten the length of stay and improve the quality of life.