CAT评估联合呼吸功能锻炼对COPD患者的效果

Effect of CAT evaluation combined with respiratory function training in patients with chronic obstructive pulmonary disease

目的探讨CAT评估联合呼吸功能锻炼对COPD患者病情的影响。方法选取采用CAT评估联合呼吸功能锻炼的42例COPD患者设为观察组(2016年1—3月收治),选取采用常规呼吸功能锻炼的41例COPD患者设为对照组(2015年10—12月收治),比较2组的CAT评分、肺功能、6 min步行距离的变化以及出院后3个月的病情发作、再次入院情况。结果观察组训练3个月后的CAT评分低于对照组,6 min步行距离大于对照组,差异有统计学意义(P<0.05);观察组训练3个月后的FEV1、FEV1/FVC高于对照组(P<0.05);观察组出院3个月后的病情发作次数低于对照组(P<0.05)。结论采用CAT评估联合呼吸功能锻炼能够促进COPD患者肺功能恢复,提高患者运动耐力,减少病情发作次数。

Objective To investigate the effect of CAT evaluation combined with respiratory function training in chronic obstructive pulmonary disease （COPD） patients. Methods A total of 42 COPD patients with CAT evaluation and respiratory function were as observation group （fi＇om January to March 2016）, 41 COPD patients with routine respiratory function training were as control group （October to December 2015 ）. The changes of CAT score, pulmonary function, 6 rain walking dis- tance and disease onset and readmission after 3 month were compared. Results The CAT score after 3 months of training in the observation group was lower than that in the control group, the 6 rain walk- ing distance was longer than that in the control group, and the differences were statistically significant （P 〈 0.05）. FEV1, FEV1/FVC after 3 months of training in the observation group were higher than that in the control group, and the difference was statistically significant （ P 〈 0.05 ）. Disease onset times after 3 months in the observation group was less than that in the control group, and the difference was statistically significant （P 〈 0.05 ）. Conclusion CAT combined with respiratory function training can improve the exercise endurance and reduce the numbers of attacks.