肺康复训练对慢性阻塞性肺疾病稳定期患者的疗效观察

Effects of three-ball breathing trainers on lung rehabilitation training for COPD patients at stable phase

目的:观察慢性阻塞性肺疾病(COPD)进行肺康复训练的效果。方法:COPD稳定期患者78例随机分为观察组和对照组各39例,2组都给予常规药物对症支持治疗,对照组在治疗期间给予常规肺康复,观察组在对照组康复的基础上给予三球式呼吸训练器康复。结果:治疗3个月后,观察组临床控显率显著高于对照组(P<0.05);2组的FEV1/FVC均显著高于治疗前(P<0.05),且观察组高于对照组(P<0.05);观察组治疗后的最大摄氧量(VO2max)、最大功率均显著高于治疗前及对照组(P<0.05),对照组治疗前后差异无统计学意义;治疗后,观察组的圣乔治问卷(SGRQ)症状分、活动分、影响分与总分评分均显著低于对照组(P<0.05)。结论:COPD稳定期患者应用三球式呼吸训练器进行肺康复训练可以改善患者肺功能与运动耐力,提高治疗效果,促进生活质量的改善,有很好的应用价值。

Objective : To explore the effects of three-ball breathing trainers on lung rehabilitation training for chronic obstructive pulmonary disease (COPD) patients at stable phase. Methods : From April 2014 to August 2017, 78 cases of COPD at stable phase in our hospital were selected, and randomly divided into experimental group and control group with 39 cases in each group. Two groups were given routine treatment for 3 months. The experimental group was given three-ball breathing trainers training additionally. Results : The effective rate of the experimental group and control group was 94.9% and 79.5% respectively ( P < 0.05 ). After treatment, the FEV1/FVC in the experimental group and the control group was significantly higher than before the treatment ( P < 0.05 ), and the FEV1/FVC in the experimental group was significantly higher than in the control group ( P < 0.05 ). The VO 2max and maximum power in the experimental group after treatment were significantly higher than those in the control group before treatment (P<0.05 ), while there was no significant change in the control group before and after treatment ( P >0.05 ). After treatment, the scores of SGRQ symptom, activity score, influence score and total score in the experimental group were significantly lower than those in the control group (P<0.05 ). Conclusion : The application of three-ball breathing trainers in the COPD patients at stable phase can improve the lung function and exercise endurance, increase the therapeutic effect and improve the quality of life.