呼吸功能锻炼联合家庭氧疗对慢性阻塞肺疾病患者生活质量及呼吸困难的影响

Influence of respiratory function exercise combined with family oxygen therapy on quality of life and respiratory difficulty in chronic obstructive pulmonary disease patients

目的观察呼吸功能锻炼联合家庭氧疗对慢性阻塞性肺疾病(COPD)患者生活质量的影响及对疾病的治疗效果。方法选取2015年3月~2017年3月在我院呼吸内科出院的60例COPD患者,随机分为观察组及对照组,各30例。观察组给予呼吸功能锻炼联合家庭氧疗,对照组给予常规口服平喘药物及吸入药物控制。比较两组3个月后的改良版圣乔治呼吸问卷评分(SGRQ-C)、慢性阻塞性肺病评估测试(CAT)评分和呼吸困难量表(m MRC)评分。结果经过3个月的康复治疗,观察组患者的SGRQ-C评分、CAT评分和m MRC评分均较对照组下降,差异有统计学意义(P<0.05)。结论呼吸功能锻炼联合家庭氧疗可以改善COPD患者的生活质量以及呼吸困难症状,使COPD患者活动能力提高。

Objective To observe the influence of respiratory function exercise combined with home oxygen therapy on the quality of life of patients with chronic obstructive pulmonary disease （COPD） and the effect of treatment on dis- eases.Methods 60 patients with COPD who were discharged from Respiratory Department in our hospital from March 2015 to March 2017 were selected and randomly divided into the observation group and the control group,30 cases in each group.The observation group was given respiratory function exercise combined with home oxygen therapy,while the control group was given conventional oral antiasthmatic drugs and inhaled drug control.The modified version of the St Georges respiratory questionnaire （SGRQ-C）,chronic obstructive pulmonary disease assessment （CAT） score and dysp- nea scale （mMRC） score were compared between the two groups after 3 months.Results After 3 months of rehabilitation treatment,the SGRQ-C score,CAT score and mMRC score of the observation group were lower than those of the control group,with significant difference （P〈0.05）.Conclusion Respiratory function exercise combined with home oxygen thera- py can improve the quality of life and dyspnea symptoms of patients with COPD,and improve the activity ability of pa- tients with COPD.