体外膈肌起搏在慢性阻塞性肺疾病患者康复护理中的应用

Application of external diaphragm pacing in rehabilitation nursing of patients with chronic obstructive pulmonary disease

目的探讨体外膈肌起搏在慢性阻塞性肺疾病患者康复护理中的应用效果。方法将60例慢性阻塞性肺疾病患者随机分为观察组30例和对照组30例。对照组进行传统呼吸肌训练,观察组在传统呼吸肌训练基础上辅以体外膈肌起搏治疗,均干预20 d。干预前后采用慢性阻塞性肺疾病评估测试(CAT)评分、改良Barthel指数、用力肺活量(FVC)、第1秒用力呼气容积(FEV 1)评价干预效果。结果干预后两组CAT评分、改良Barthel指数评分、FVC和FEV 1比较,差异有统计学意义(均P<0.01)。结论体外膈肌起搏能有效改善慢性阻塞性肺疾病患者肺功能,提高患者日常生活活动能力和生活质量。

Objective to explore the effect of external diaphragm pacing in rehabilitation nursing of patients with chronic obstructive pulmonary disease(COPD).Methods A total of 60 COPD patients were randomized into 2 groups of 30 cases each.The control group was subjected to traditional respiratory muscle training for 20 days while the intervention group additionally received external diaphragm pacing.The COPD Assessment Test(CAT),modified Barthel Index,forced vital capacity(FVC),forced expiratory volume in 1 second(FEV 1)were used to measure the patients before and after the intervention.Results After the intervention,the CAT results,Barthel scores,FVC and FEV 1 readings,had significant differences between the 2 groups(P<0.01 for all).Conclusion External diaphragm pacing can effectively improve pulmonary function of COPD patients,and enhance their activity levels of daily living and quality of life.