延续性肺康复训练对慢性阻塞性肺疾病患者生活质量的影响

Effect of continuous pulmonary rehabilitation on the life quality of patients with chronic obstructive pulmonary disease

目的:探讨延续性肺康复训练对慢性阻塞性肺疾病(COPD)患者生活质量的影响。方法:选取2017年1月至2018年6月四川省达州市中西医结合医院呼吸内科收治的COPD患者120例,随机分为观察组和对照组,每组60例。对照组采取常规护理,观察组在常规护理的基础上给予肺康复训练。比较两组住院时间、改良英国医学研究学会呼吸困难指数(mMRC评分)及6 min步行试验(6MWT)、圣乔治呼吸问卷(SGRQ评分)及随访期内急性加重次数。结果:观察组住院时间明显短于对照组(P<0.05);与入院时对比,两组患者出院时mMRC评分及6MWT指标均有改善,且观察组改善更为明显(P<0.05)。随着随访时间延长,对照组SGRQ评分呈上升趋势,观察组SGRQ评分逐渐降低,两组在各时间节点上组间比较,差异有统计学意义(P<0.05)。观察组9个月内急性加重次数明显少于对照组(P<0.05)。结论:延续性肺康复训练能缩短COPD患者的住院时间,提高生活质量,减少急性发作次数,值得临床推广。

Objective:To explore the effect of continuous pulmonary rehabilitation training on the quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 120 patients with COPD treated in our hospital from January 2017 to June 2018 were selected,and randomly divided to an observation group and a control group,with 60 patients in each group.The patients in the control group received conventional nursing care,and those in observation group were treated as the control group with addition of rehabilitation training.The hospital days,modified British medical research council(mMRC)score,6 min walking test(6MWT),St.George's Respiratory Questionnaire(SGRQ)score and the number of acute aggravation during the follow-up period were compared.Results:The hospital days were decreased in the observation group compared with the control group(P<0.05).The mMRC score and 6MWT were improved in both groups,and the improvement was more marked in the observation group(P<0.05).As follow-up time prolonged,the SGRQ score of the control group was on the rise,and that of the observation group was gradually decreased(P<0.05).The number of acute exacerbation within 9 months in the observation group was significantly lower than that in the control group(P<0.05).Conclusions:The continuous pulmonary rehabilitation training could shorten the hospital days in patients with COPD,improve the quality of life,and reduce the risk of acute attacks.