心肺康复运动训练在COPD稳定期患者中的应用效果

Application effect of cardiopulmonary rehabilitation exercise training in patients with stable period COPD

目的探讨心肺康复运动训练在慢性阻塞性肺疾病(COPD)稳定期患者中的应用效果。方法选择2014年3月至2016年5月收治的76例COPD稳定期患者为研究对象,按照出院先后顺序将其分为观察组与对照组,各38例。对照组给予常规治疗,观察组在对照组的基础上给予心肺运动康复训练。比较两组治疗效果。结果出院后3个月,两组患者FEV1%、LVEF、6MWT均明显优于出院时,且观察组优于对照组,差异具有统计学意义(P<0.05)。出院后3个月,两组患者生活质量各项指标评分均高于出院时,且观察组高于对照组,差异具有统计学意义(P<0.05)。观察组出院后1年内再次因COPD住院率显著低于对照组,差异具有统计学意义(P<0.05)。出院后3个月,两组患者SAS评分均低于出院时,且观察组低于对照组,差异具有统计学意义(P<0.05)。结论心肺康复运动训练可改善COPD稳定期患者肺部功能,提高患者生活质量,降低疾病复发率。

Objective To explore the effect of cardiopulmonary rehabilitation exercise training in patients with stable period chronic obstructive pulmonary disease (COPD). Methods A total of 76 cases of stable period COPD from March 2014 to May 2016 were selected as the research objects. The patients were divided into observation group and control group according to the time sequence of discharge, with 38 cases in each group. The control group was given routine treatment, while the observation group was given cardiopulmonary exercise rehabilitation training on the basis of the control group. The therapeutic effects of the two groups were compared. Results Three months after discharge, the FEV1%, LVEF, 6MWT and scores of life quality in both groups were significantly better than those at discharge, and those in the observation group were better than the control group, the differences were statistically significant (P<0.05). Three months after discharge, the scores of life quality in both groups were significantly better than those at discharge, and those in the observation group were better than the control group, the differences were statistically significant (P<0.05). The re-hospitalization rate of COPD within 1 year after discharge in the observation group was significantly lower than that in the control group, the difference was statistically significant (P<0.05). Three months after discharge, the SAS scores of the two groups were lower than those at discharge, and that of the observation group was lower than the control group, the differences were statistically significant (P<0.05). Conclusion Cardiopulmonary rehabilitation training can improve pulmonary function and the quality of life, and reduce the recurrence rate of COPD patients in stable stage.