社区呼吸康复治疗对慢性阻塞性肺疾病稳定期患者肺功能和运动耐力的影响

Effect of Community Respiratory Rehabilitation on Pulmonary Function and Exercise Endurance in Stable Patients with Chronic Obstructive Pulmonary Disease

目的:总结稳定期慢性阻塞性肺疾病(COPD)应用社区呼吸康复治疗的方法,并分析其对患者肺功能和运动耐力的影响。方法:根据入院日期的不同,把从2015年1月-2016年12月在本院接受治疗的120例稳定期COPD患者分为对照组(偶数日入院)和观察组(奇数日入院),每组60例。对照组行常规健康宣教,观察组在对照组基础上行社区呼吸康复治疗。在治疗前及治疗1、3、6个月时测试两组患者的第1秒用力呼气容积(FEV_1)、第1秒用力呼气容积/用力肺活量(FEV_1/FVC%)、第1秒用力呼气容积占预计值百分比(FEV_1%)及6 min步行距离,并进行对比分析。结果:治疗前,两组的6 min步行距离比较,差异无统计学意义(P>0.05);治疗1、3、6个月时,观察组的6 min步行距离均显著长于对照组,差异均有统计学意义(P<0.05)。治疗前,两组的FEV_1、FEV_1/FVC%、FEV_1%比较,差异均无统计学意义(P>0.05);治疗1、3、6个月时,观察组的FEV_1、FEV_1/FVC%、FEV_1%均显著高于对照组,差异均有统计学意义(P<0.05)。结论:在对症治疗及常规健康宣教的基础上对稳定期COPD患者行社区呼吸康复治疗,可显著提升患者的运动耐力和肺功能。

Objective:To summarize the method of community respiratory rehabilitation therapy in stable chronic obstructive pulmonary disease(COPD),and to analyze the effect of COPD on lung function and exercise tolerance in patients.Method:120 patients with stable COPD who were treated in our hospital from January 2015 to December 2016 were divided into control group(even date admission)and observation group(odd day admission),60 cases in each group.The control group was treated with routine health education,the observation group was treated with community breathing rehabilitation therapy on the basis of the control group.The firstsecond forced expiratory volume(FEV1),the first-second forced expiratory volume/forced vital capacity(FEV1/FVC%)were measured before and after 1 month,3 and 6 months of treatment,exhaled volume accounted for the predicted percentage(FEV1%)and 6 min walking distance,and comparative analysis.Result:Before treatment,there was no significant difference between the two groups of 6 min walking distance(P>0.05);at 1 month,3 and 6 months,the walking distance of 6 min in the observation group were significantly longer than those of the control group,the differences were statistically significant(P<0.05).Before treatment,there were no statistically significant differences in FEV1,FEV1/FVC%and FEV1%between the two groups(P>0.05);at 1 moonth,3 and 6 months,the FEV1,FEV1/FVC%and FEV1%of the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Respiratory rehabilitation treatment of patients with stable COPD on the basis of symptomatic treatment and routine health education can significantly improve the athletic endurance and lung function of patients.