呼吸功能锻炼在改善老年慢性阻塞性肺疾病患者肺功能及提高生活质量中的作用

The role of respiratory function training in improving lung function and quality of life in elderly patients with chronic obstructive emphysema

目的探讨呼吸功能锻炼在提高老年慢性阻塞性肺疾病(COPD)患者肺功能和生活质量中的作用。方法选取我院在2017年1月～2018年2月收治的老年COPD稳定期患者80例,按照随机数字表法分为观察组和对照组,每组各40例,对照组采用常规治疗方式;观察组在常规治疗基础上辅以呼吸功能锻炼,每天1h,干预时间3个月;比较两组患者治疗前后肺功能及生活质量改善情况。结果治疗后两组患者FEV1/FVC、FEV1%、PEF、MMEF水平明显提高,观察组FEV1/FVC、FEV1%、PEF、MMEF明显高于对照组,差异具有统计学意义(P <0.05);治疗后观察组圣乔治呼吸问卷(SGRQ)中症状评分、活动能力评分、疾病影响评分低于对照组,汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分低于对照组,差异具有统计学意义(P <0.05)。结论呼吸功能锻炼能够明显提高老年COPD患者肺功能,改善生活质量,值得大力推广。

Objective To investigate the role of respiratory function exercise in improving lung function and quality of life in elderly patients with chronic obstructive pulmonary disease (COPD). Methods 80 elderly patients with stable COPD in our hospital from January 2017 to February 2018 were divided into observation group and control group according to the random number table method, with 40 cases in each group. The control group was treated with conventional treatment, while the group was supplemented with respiratory function exercise on the basis of routine treatment, once a day for 1h, and the intervention time was 3 months. The lung function and quality of life improvement before and after treatment were compared between the two groups. Results The levels of FEV1/FVC, FEV1%, PEF and MMEF were significantly increased in the two groups after treatment. The FEV1/FVC, FEV1%, PEF and MMEF in the observation group were significantly higher than those in the control group, the difference was statistically significant (P<0.05).After treatment, the scores of symptom, activity ability, disease impact and disease impact of St. George Respiratory Questionnaire (SGRQ) in the observation group were lower than those in the control group, and the scores of Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) were lower than those in the control group, the difference was statistically significant (P<0.05). Conclusion Respiratory function exercise can significantly improve lung function and improve quality of life in elderly patients with COPD, which is worth promoting.