稳定期COPD患者行肺康复为主的综合管理治疗的价值

Rehabilitation value stable COPD patients with pulmonary rehabilitation therapy based integrated ;management

目的：探讨以肺康复为主的综合管理康复治疗对稳定期 COPD患者的价值。方法选取2014年3月至2015年8月本院呼吸内科达到出院标准的70例稳定期COPD患者,采用随机数字表法分为研究组和对照组各35例,2组出院时均给予常规医嘱用药,研究组同时在研究人员的指导下进行以肺康复为主的综合管理康复治疗,干预时间6个月。结果干预前,研究组和对照组的 FEV1、FEV1%pred、6分钟步行距离、慢性阻塞性肺疾病自我评估测试（CAT）评分、呼吸困难指数（mMRC）评分、BODE指数差异均无统计学意义（P 〉0.05）；干预12周、干预结束时,研究组的FEV1、FEV1%pred、6分钟步行距离均显著的高于对照组（P 〈0.05）,研究组的 CAT 评分、mMRC评分、BODE指数均显著的高于对照组（P 〈0.05）。干预期间,研究组平均 AECOPD 次数[（0.59±0.22）次]显著的低于对照组的次数[（0.92±0.30）次]（t=5.928,P〈0.05）。结论以肺康复为主的综合管理康复治疗措施能够改善COPD患者的肺功能及生活质量,减少 AECOPD次数。

Objective To explore the value of comprehensive management and rehabilitation therapy in the treatment of patients with stable COPD.Methods Selected March 2014-August 2015 up to the discharge standard hospital respiratory medicine 70 patients with stable COPD patients,by using the method of random number table,35 cases were divided into study group and control group.Two groups were given routine medical advice,the study group also under the guidance of the researchers to carry out the comprehensive management of pulmonary rehabilitation based on rehabilitation treatment,the intervention time of 6 months.Results Before intervention,the study group and control group FEV1 , FEV1%pred,6 min walking distance,CAT score,mmMRC score,BODE index were not statistically significant（P〉0.05）.At 12 weeks and the end of the intervention,the FEV1 ,FEV1%pred and 6 min walking distance of the study group were significantly higher than those of the control group（P〈0.05）, the CAT score,mMRC score and BODE index in the study group were significantly higher than those in the control group（P 〈0.05）.During the intervention period,the average AECOPD times of the study group was[（0.59±0.22）times]significantly lower than that of the control group[（0.92±0.30）times] （t=5.928,P〈0.05）.Conclusions Pulmonary rehabilitation combined with rehabilitation treatment can improve the lung function and quality of life of COPD patients,and reduce the number of AECOPD.