药物联合康复训练治疗慢性阻塞性肺疾病的疗效

Therapeutic effect of drug therapy combined with rehabilitation training on chronic obstructive pulmonary disease

目的分析药物联合康复训练治疗慢性阻塞性肺疾病(COPD)的疗效。方法选择2015年3月至2016年9月在我院因COPD进行诊治的140例患者为研究对象,随机分为2组。对照组70例,采用药物常规治疗;观察组70例,联合康复训练。治疗3个月后,比较两组肺功能、血气指标、相关症状评分及急性发病次数。结果治疗后,两组肺功能、血气指标均有所改善,6分钟步行试验(6MWT)、日常生活能力量表(ADL)评分均提升,改良版英国医学研究委员会呼吸问卷(mMRC)评分降低;随访1年,两组急性发病次数和住院次数减少(P<0.05)。两组上述指标比较差异均有统计学意义(P<0.05)。结论在药物治疗COPD的基础上,配合康复训练,可有效改善肺功能、血气指标,提高患者生活质量。

Objective To analyze the therapeutic effect of drug therapy combined with rehabilitation training on chronic obstructive pulmonary disease（ COPD）. Methods Totally 140 patients with COPD treated in our hospital from March 2015 to September 2016 were randomly divided into control group（ drug therapy,n = 70） and observation group（ drug therapy combined with rehabilitation training,n = 70）. The lung function,blood gas index, related symptom scores, and the incidence of acute disease of the two groups were analyzed. Results After treatment,both lung function and blood gas index were improved（ P〈0. 05）, and the scores of 6-minute walk test（ 6 MWT） and activity of daily living（ ADL） were significantly increased（ P〈0. 05）,while the score of the modified British Medical Research Council（ mMRC） was decreased significantly（ P〈0. 05）. The number of acute onset of disease and hospitalization of two groups decreased during the follow-up of 1 year（ P〈0. 05）. There were significant differences in the above indexes between the two groups（ P〈0. 05）. Conclusion Drug therapy combined with rehabilitation training can effectively improve the lung function,blood gas indexes and the quality of life in the patients with COPD.