综合性康复治疗对慢性阻塞性肺病缓解期患者生存质量的影响

Effects of the comprehensive pulmonary rehabilitation programme on the quality of life of the patients with COPD in recovery period

目的探讨综合性肺康复治疗对慢性阻塞性肺病(COPD)缓解期患者生命质量的影响。方法35例COPD缓解期患者分为肺康复组(n=20)与对照组(n=15)。肺康复组给予体能锻炼、呼吸肌锻炼、氧疗、宣教、心理与行为干预等综合性肺康复治疗措施。对照组仅在门诊取药治疗。利用生存质量(QOL)评分标准分别在治疗前、治疗后第4周、12周、24周、1年时对两组患者生存质量评估。结果肺康复组治疗后其QOL总均分(TMS)、社会活动分(F1S)、日常生活因子分(F2S)、抑郁因子分(F3S)、焦虑因子分(F4S)评分较治疗前均有所降低(P<0.05,P<0.001)。而对照组则差异无显著性意义(P>0.05)。结论综合性的肺康复治疗能改善患者的生存质量。

Objective To explore effects of comprehensive pulmonary rehabilitation programm e on the quality of life of the patient s with chronic obstructive pulmonary dise ase(COPD)in recovery period.Methods 35cases of patients with COPD in recovery were divided into the group of pulmonary rehabilitation(n=20)and control group(n=15).The former were given treatment of t he pulmonary rehabilitation ,containing physical training ,resp iratory muscle training,oxygen therapy,education,psychology and beh avioural intervention and the latte r were treated by only medicaments in o utpatients service.The quality of l ife(QOL)of them were evaluated by QOL score at the time before treated,4weeks,12weeks,24weeks a nd 1year after treated,respectively.Results FMS,F1S,F2S,F3S and F4S in the group of pulmonary rehabilitation were sign ificantly lower after rehabilitate d than those of before rehabilitated(P<0.05,P<0.001),but in the control group did not change(P>0.05).Conclusion The comprehensive pulmonary rehabi litation programme could improve th e quality of life of the patients with chronic obstructive pulmonary(COPD)in recovery period.