运动为主的短期康复治疗对煤工尘肺患者肺功能影响

Effect of exercise-based short-term rehabilitation therapy on pulmonary function of coal workers' pneumoconiosis

目的探讨以运动为主的短期康复治疗对煤工尘肺(CWP)患者肺功能的改善作用。方法采用随机数表法将74例CWP患者分为对照组(32例)和治疗组(42例),对照组患者仅予常规治疗,治疗组患者在常规治疗的基础上进行以运动为主的康复治疗6个月。检查2组患者肺功能以评估疗效。结果康复治疗前,治疗组患者治疗前肺活量(VC)和用力肺活量(FVC)均低于对照组,差异均有统计学意义(P<0.05);但2组患者第1秒用力呼气容积(FEV_(1.0))和1秒率分别比较,差异均无统计学意义(P>0.05)。治疗组患者治疗后VC和FVC均高于同组治疗前,差异均有统计学意义(P<0.05);但对照组患者4个肺功能指标治疗前后分别比较,差异均无统计学意义(P>0.05)。治疗组患者VC和FVC的治疗前后差值均高于对照组,差异均有统计学意义(P<0.01);但2组患者FEV_(1.0)和1秒率治疗前后差值分别比较,差异均无统计学意义(P>0.05)。结论以运动为主的短期康复治疗可改善CWP患者的肺通气功能。

Objective To investigate the effect of short-term rehabilitation therapy based on exercise on lung function in coal workers’ with pneumoconiosis(CWP). Methods A total of 74 CWP patients were divided into control group(32) and treatment group(42) by random number table method. The control group received routine treatment only. The treatment group underwent 6 months of exercise-based rehabilitation treatment on the basis of routine treatment. The lung function was assessed in two groups to evaluate the treatment efficacy. Results Before rehabilitation treatment, the vital capacity(VC) and forced vital capacity(FVC) of patients in the treatment group were lower than that in the control group(P<0.05). But there was no significant difference in forced expiratory volume in first second(FEV1.0) and FEV1.0% between the two groups(P>0.05). After treatment, VC and FVC in the treatment group were higher than that before treatment in the same group(P<0.05). However, there was no significant difference in the four lung function indexes before and after treatment in the control group(P>0.05). The difference of VC and FVC before and after treatment in the treatment group was higher than those in the control group(P<0.01). However, there was no significant difference in FEV1.0 and FEV1.0% between the two groups before and after treatment(P>0.05). Conclusion Exercise-based short-term rehabilitation therapy can improve lung ventilation of CWP patients.