呼吸功能锻炼对稳定期COPD患者肺功能指标的影响分析

Effects of Respiratory Function Training on Pulmonary Function Indexes in Patients with COPD in the Stable Stage

目的:分析慢性阻塞性肺疾病(COPD)稳定期患者在呼吸功能锻炼后肺功能指标的变化特点。方法:将68例COPD稳定期患者随机分为观察组和对照组,对照组给予常规药物治疗,观察组在常规药物治疗基础上进行规范的呼吸功能锻炼,随访三个月后比较呼吸功能锻炼前后肺功能指标深吸气量(IC)、第一秒用力呼气量(FEV1)、用力肺活量(FVC)和最大通气量(MVV)的变化。结果:观察组肺功能指标IC、FEV1、FVC和MVV在治疗后均有增加,其中IC的增加幅度最大,差异有统计学意义(P<0.05),FEV1、FVC和MVV较前无显著性变化(P均>0.05);对照组肺功能指标IC、FEV1、FVC和MVV在治疗后均有增加,较前无显著性变化(P均>0.05)。结论:深吸气量IC可作为判断COPD患者肺功能改善的独立指标。

Objective:To analyze the changes of inspiratory capacity in patients with chronic obstructive pulmonary disease(COPD)in stable phase after respiratory function exercise.Methods:Sixty-eight cases randomly divided into observation group and control group.The observation group was given routine drug treatment.The control group was given standardize respiratory functional exercise on the basis of the observation group.The changes of lung function indexes IC(inspiratory capacity),FEV1,FVC and MVV before and after respiratory function exercise were comparedafter three months’follow-up.Results:IC,FEV1,FVC and MVV were increased in the observation group after treatment.IC increased the most.There was significant difference(P<0.05).FEV1,FVC and MVV were no significant change(P>0.05).In the control group IC,FEV1,FVC and MVV were increased after treatment and there was no significant change(P>0.05)Conclusion:Inspiratory capacity IC can be used as an independent index to judge the improvement of pulmonary function in patients with COPD.