肺康复指导对老年慢性阻塞性肺疾病稳定期患者预后的影响

Effects of lung rehabilitation guidance on the prognosis of senile COPD patients in stable phase

目的探讨肺康复指导对老年慢性阻塞性肺疾病稳定期患者预后的影响。方法将122例老年慢性阻塞性肺疾病稳定期患者采用随机数表法分为观察组与对照组，每组61例。两组均给予常规治疗及护理，观察组在此基础上增加肺康复指导，于干预前后比较两组肺功能变化及Borg呼吸困难评分。结果干预后两组第1s用力呼气量与第1s用力呼气量／用力肺活量评分均较干预前显著升高（P〈0．05或0．01），观察组较对照组升高更显著（P〈0．01），两组功能残气量评分均较干预前显著降低（P〈0．01），观察组较对照组下降更显著（P〈0．01）。干预14d起两组Borg呼吸困难评分均显著低于干预前（P〈0．05或0．01），观察组较对照组下降更显著（P〈0．01）。结论肺康复指导可以有效改善老年慢性阻塞性肺疾病稳定期患者的肺功能，缓解患者呼吸困难症状，值得在临床推广应用。

Objective To explore the effects of lung rehabilitation guidance （LRG） on the prognosis of senile COPD patients in stable phase. Methods A total of 122 senile COPD patients in stable phase were assigned to observation and control group of 61 ones each according to random number table. Both groups received routine treatment and nursing, on this basis observation group was plus LRG, and lung function changes and Borg scores were compared between 2 groups. Results Scores on FEV1 and FEV1/FVC of both groups heightened more significantly after intervention compared with pre-intervention （P〈0.05 or 0.01） and so did those in observation than in control group （P〈0.01）; scores on FRC of both groups lowered more significantly after intervention compared with pre-intervention （P〈0.05 or 0.01） and so did those in observation than in control group （P〈0.01）. Since the 14th day intervention Borg scores of both groups lowered more significantly after intervention compared with pre-intervention （P〈0.05 or 0.01） and so did those in observation than in control group （P〈0.01）. Conclusion LRG could effectively ira： prove lung function of senile COPD patients in stable phase, relieve dyspnea＇s symptoms, and deserves clinical generalization and application.