肺呼吸康复治疗在慢性阻塞性肺疾病缓解期患者中的应用效果

Application effect of pulmonary respiratory rehabilitation therapy in patients with chronic obstructive pulmonary disease in catabasis

目的探讨肺呼吸康复治疗在慢性阻塞性肺疾病缓解期患者中的应用效果。方法选取2016年9月~2018年9月我院收治的76例急性加重缓解稳定期慢性阻塞性肺疾病患者作为研究对象,采用随机数字表法将其分为对照组和观察组,每组各38例。对照组患者给予常规康复治疗,观察组患者在对照组的基础上给予肺呼吸康复治疗。比较两组患者治疗前后的生活质量评分、第1秒用力呼气量、第1秒用力呼气量占用力肺活量比值及6min步行距离。结果观察组患者治疗后的生活质量评分为(6.3±1.3)分,显著低于对照组的(19.3±2.2)分,差异有统计学意义(P<0.05)。观察组患者治疗后的第1秒用力呼气量为(2.3±0.7)L,第1秒用力呼气量占用力肺活量比值为(71.1±8.4)%,均分别显著高于对照组的(1.4±0.3)L、(64.6±7.9)%,差异有统计学意义(P<0.05)。观察组患者治疗后的6min步行距离为(435.9±52.4)m,远于对照组的(335.3±32.2)m,差异有统计学意义(P<0.05)。结论肺呼吸康复治疗在慢性阻塞性肺疾病缓解期患者中的应用效果显著,值得临床推广。

Objective To explore the application effect of pulmonary respiratory rehabilitation therapy in patients with chronic obstructive pulmonary disease(COPD)in catabasis.Methods A total of 76 patients with COPD in the period of acute mitigation catabasis who were treated in our hospital from September 2016 to September 2018 were enrolled in the study.They were divided into the control group and the observation group according to the random number table method,with 38 cases in each group.Patients in the control group were given conventional rehabilitation therapy,and patients in the observation group were given pulmonary respiratory rehabilitation on the basis of the control group.The quality of life scores,the forced expiratory volume in the first second,the forced expiratory volume of vital capacity in the first second,and the 6-minute walking distance were compared before and after treatment in the two groups.Results The quality of life score in the observation group after treatment was(6.3±1.3)points,which was significantly lower than that in the control group for(19.3±2.2)points,and the difference was statistically significant(P<0.05).The forced expiratory volume in the first second of the observation group after treatment was(2.3±0.7)L,the forced expiratory volume of vital capacity in the first second was(71.1±8.4)%,which were significantly higher than those of the control group for(1.4±0.3)L,(64.6±7.9)%,and the differences were statistically significant(P<0.05).The 6-minute walking distance in the observation group after treatment was(435.9±52.4)m,which was significantly farther than that in the control group for(335.3±32.2)m,and the difference was statistically significant(P<0.05).Conclusion The application effect of pulmonary respiratory rehabilitation therapy in patients with COPD in catabasis is significant,which is worthy of clinical promotion.