肺康复训练对老年重度慢性阻塞性肺病的影响

The Effects of Pulmonary Rehabilitation on Patients with Severe Stable COPD

目的探讨肺康复训练对老年重度慢性阻塞性肺疾病（简称慢阻肺）患者肺功能、呼吸困难程度、生存质量和急性加重的影响。方法收集2014年1月~2015年1月在潍坊市人民医院住院及门诊随访的96例男性老年稳定期重度慢阻肺患者,按照是否参与肺康复训练分为对照组（n=48）和训练组（n=48）。训练组在常规治疗基础上进行6个月的肺康复训练,对照组不进行肺康复训练。比较干预前后及各组间患者肺功能、6min步行距离（6MWD）、呼吸困难程度评分（m MRC）、生存质量及COPD急性加重次数的变化。结果经过6个月的肺康复训练后,训练组患者干预前后生命存量评分、6MWD比较差异有统计学意义（P〈0.05）,干预前后肺功能比较差异无统计学意义（P〉0.05）。重度慢阻肺患者在肺康复训练后急性加重次数明显减少（P〈0.05）。结论肺康复训练能提高老年重度慢阻肺患者活动耐量和生存质量,减少重度慢阻肺患者急性加重次数,是一种经济高效的稳定期慢阻肺治疗措施。

Objective To investigate the effect of pulmonary rehabilitation on pulmonary function,perception of dyspnea and quality of life in severe stable COPD patients. Methods Ninety-six cases of patients with severe COPD in stable stage were divided into the control group（ n = 48） and the treatment group（ n = 48）. The treatment group received pulmonary rehabilitation for 6 months in addition to usual care,and the control group only received usual care.Pulmonary function（ FEV1）,6 minute walking distance（ 6MWD）,modified medical research council（ m MRC） scale,and acute exacerbation frequency of COPD were compared before and after intervention. Results After pulmonary rehabilitation for 6 months,the quality of life score and 6MWD were significantly improved in the treatment groups（ P〈0. 05）.Lung function before and after the intervention showed no significant difference（ P〉0. 05）. The acute exacerbation frequency of the COPD patients was significantly reduced by pulmonary rehabilitation（ P〈0. 05）. Conclusions Pulmonary rehabilitation can improve exercise tolerance and quality of life of severe COPD patients,and reduce acute exacerbation frequency. Pulmonary rehabilitation is a cost-effective treatment for stable COPD.