多元呼吸康复训练对老年慢性阻塞性肺疾病的疗效分析

Analysis of curative effect of multiple respiratory rehabilitation training on elderly patients with chronic obstructive pulmonary disease

目的探讨多元呼吸康复训练在老年慢性阻塞性肺疾病(COPD)患者中的应用效果。方法于2016年4月～2018年3月呼吸内科收治的老年COPD患者中选出200例为研究对象,按随机数字表将200例患者分入两组,对照组100例患者接受常规治疗措施和一般康复训练,观察组100例患者在对照组的基础上给予多元呼吸康复训练,对比两组的肺功能、慢性肺疾病评分、运动耐量等指标。结果干预3个月后观察组最大通气量、时间通气量、FEV_1%pred、FEV_1/FVC均高于对照组,差异有统计学意义(P<0.01);干预3个月后观察组CAT病情评分低于对照组,6 min步行距离长于对照组,差异有统计学意义(P<0.01)。结论多元呼吸康复训练的应用有助于控制老年慢性阻塞性肺疾病的病情,改善呼吸状况、肺功能,增加运动耐量。

Objective To explore the effect of multiple respiratory rehabilitation training in elderly patients with chronic obstructive pulmonary disease(COPD).Methods 200 elderly patients with COPD admitted to respiratory medicine department from April 2016 to March 2018 were selected as research subjects,and they were divided into two groups according to random number table.100 cases in control group received routine treatment and general rehabilitation training,while 100 cases in observation group received multiple respiratory rehabilitation training on the basis of the control group.And then,the lung function indexes of the two groups were compared.Results After 3 months of intervention,the maximal ventilation volume,time ventilation volume,FEV 1%pred and FEV 1/FVC in the observation group were higher than those in the control group,difference was statistically significant(P<0.01).And the score of CAT in the observation group was lower than that in the control group,and the walking distance in 6 minutes was longer than that in the control group,difference was statistically significant(P<0.01).Conclusion The application of multiple respiratory rehabilitation training can help to control the condition of chronic obstructive pulmonary disease in the elderly,improve respiratory condition and lung function,and increase exercise tolerance.