呼吸康复治疗对农村地区COPD稳定期患者BODE评分系统的影响

Influence of respiratory rehabilitation treatment on BODE scoring system of patients with COPD in stable phase in rural areas

目的分析呼吸康复治疗对农村地区慢性阻塞性肺疾病(COPD)稳定期患者BODE评分系统的影响。方法将我院收治的60例COPD稳定期患者作为研究对象,随机分为对照组与观察组,每组30例。对照组常规治疗,观察组则给予呼吸康复治疗方案。比较两组患者治疗前后BOBE评分系统的变化。结果治疗后,观察组BMI、FEV1%、MMRC分级、6MWD分别为(22.4±1.1)kg/m2,(68.6±3.6)%,(1.3±0.2)级,(256.3±36.3)m,BODE指数评分降低至(3.4±1.0)分,ADL为(78.2±6.4)分,QOL为(67.8±2.6)分,与对照组相比差异有统计学意义(P<0.05);且观察组炎性因子水平下降幅度高于对照组(P<0.05)。结论在农村地区COPD稳定期患者的临床治疗中,采用呼吸康复治疗方案,患者BODE评分系统指标改善显著,值得推广。

Objective To analyze the influence of respiratory rehabilitation treatment on BODE coring system of patients with chronic obstructive pulmonary disease（ COPD） in stable phase in rural areas. Methods 60 patients with COPD in stable phase admitted into the hospital were selected as the research object and were randomly divided into control group and observation group with 30 cases in each. The control group received conventional treatment while the observation group received respiratory rehabilitation treatment. The changes of BOBE coring system in the two groups before and after the treatment were compared. Results After the treatment,BMI,FEV1% MMRC classification and 6MWD of the observation group were（ 22. 4 ±1. 1） kg / m^2,（ 68. 6 ± 3. 6） %,（ 1. 3 ± 0. 2） and（ 256. 3 ± 36. 3） m respectively. The BODE index score decreased to（ 3. 4 ±1. 0）,ADL（ 78. 2 ± 6. 4）,and QOL（ 67. 8 ＋ 2. 6）. Compared with those of the control group,the difference was statistically significant（ P〈0. 05）. And the decline level of inflammatory factors in the observation group was significantly higher than that of the control group（ P〈0. 05）. Conclusion In the clinical treatment of patients with COPD in stable phase in rural areas,respiratory rehabilitation treatment were adopted,the improvement of BOBE coring system indexes is significant. It is worthy to be popularized.