呼吸康复锻炼对老年COPD稳定期患者运动时心肺功能及症状改善的影响

Impact of respiratory rehabilitation training on elderly patients' exercise cardiopulmonary function and symptom improvement in the stable stage of COPD

目的:研究呼吸康复锻炼对老年慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定期患者运动时心肺功能及症状改善的影响。方法:选取68例老年COPD患者作为研究对象,随机分为观察组与对照组,各34例,对照组采用常规治疗,观察组在常规治疗基础上进行呼吸康复锻炼,对比两组患者干预前后心肺功能变化情况及临床症状评分变化情况。结果:干预前观察组用力肺活量(forced vital capacity,FVC)、1秒钟用力呼气容积(forced expiratory volume in one second,FEV1)及FEV1/FVC水平与对照组相比差异无统计学意义(P>0.05),干预后观察组各项指标水平均优于对照组,差异有统计学意义(P<0.05);干预前观察组COPD评分测试(COPD assessment test TM,CAT)与对照组对比差异无统计学意义(P>0.05),干预后观察组CAT评分优于对照组,差异有统计学意义(P<0.05)。结论:老年COPD稳定期患者在常规治疗基础上实施呼吸康复锻炼可有效缓解其临床症状,改善运动时的心肺功能,值得推广应用。

Objective：To explore the impact of respiratory rehabilitation training on elderly patients ＇ exercise cardiopulmonary function and symptom improvement in the stable stage of chronic obstructive pulmonary disease（ COPD）. Methods： 68 cases of elderly COPD patients were selected and randomly divided into observation group and control group,34 cases in each group. The patients in control group were given the routine treatment,and those in observation group were given respiratory rehabilitation training on the basis of the routine treatment. The differences of the exercise cardiopulmonary function and clinical symptom score between the two groups before and after intervention were compared. Results：Before intervention,there were no significant differences in forced vital capacity（ FVC） and forced expiratory volume in one second（ FEV1） between the two groups（ P〈0. 05）; after intervention,the indexes in observation group were significantly better than those in control group（ P〈0. 05）.Before intervention,there was no difference in COPD Assessment Test（ CAT） score between the two groups（ P〈0. 05）; after intervention,the CAT score in observation group was significantly better than that in control group（ P〈0. 05）. Conclusion：The respiratory rehabilitation training on the basis of the routine treatment for elderly patients in stable stage of COPD can effectively relieve the clinical symptoms and improve the exercise cardiopulmonary function,which has the promotion value.