细节护理联合呼吸肌功能锻炼对慢性阻塞性肺疾病康复期患者肺功能的影响

Effect of Detail Nursing Combined with Respiratory Muscle Function Training on Lung Function of Patients with Chronic Obstructive Pulmonary Disease during Rehabilitation Period

目的探讨细节护理联合呼吸肌功能锻炼对慢性阻塞性肺疾病康复期患者肺功能的影响。方法方便选取2017年5月—2019年5月该院收治的慢性阻塞性肺疾病患者86例,按照数字表法将其随机分为两组,对照组应用细节护理,研究组应用呼吸肌功能锻炼,分析两组患者肺功能,血气指数以及呼吸,心率改善情况进行对比。结果研究组呼吸频率(20.1±3.4)次/min、心跳频率(70.3±3.7)次/min,对照组患者呼吸频率(23.2±1.3)次/min、心跳频率(76.3±3.8)次/min,研究组呼吸频率、心跳频率低于对照组,差异有统计学意义(t=12.443、14.637,P<0.05),研究组膈肌活动(50.1±2.4)mm,对照组膈肌活动(41.5±3.2)mm,研究组膈肌活动高于对照组,差异有统计学意义(t=15.231,P<0.05);研究组PaCO2(47.1±2.8)mmHg,对照组PaCO2(54.6±2.9)mmHg,研究组PaCO2低于对照组,差异有统计学意义(t=12.795,P<0.05);研究组PaO2(78.2±3.8)mmHg,对照组PaO2(65.1±4.8)mmHg,研究组PaO2高于对照组,差异有统计学意义(t=13.247,P<0.05);研究组FVC(3.1±0.3)mL、FEV1(2.9±0.3)mL、PEF(6.7±0.3)mL/s以及MMEF(3.2±0.5)mL/s,对照组FVC(2.7±0.2)mL、FEV1(2.2±0.4)mL、PEF(5.3±1.5)mL/s以及MMEF(2.4±0.5)mL/s,研究组FVC、FEV1、PEF以及MMEF均高于对照组,差异有统计学意义(t=13.464、14.341、14.231、14.267,P<0.05)。结论对于慢性肺阻塞性肺疾病患者采用细节护理联合呼吸肌功能锻炼,可以有效改善患者肺功能、提高膈肌活动范围,稳定患者呼吸频率、心率,改善患者血气指数。

Objective To explore the effect of detailed nursing combined with respiratory muscle exercise on the lung function of patients with chronic obstructive pulmonary disease during rehabilitation period.Methods 86 patients with chronic obstructive pulmonary disease admitted to the hospital from May 2017 to May 2019 were convenient selected and randomly divided into two groups according to the digital table method.The control group received detailed nursing and the research group used respiratory muscle exercise,analysis of lung function,blood gas index and improvement of respiration and heart rate in two groups of patients.Results The respiration frequency of the study group was(20.1±3.4)times/min,the heartbeat frequency was(70.3±3.7)times/min,the control group was(23.2±1.3)times/min,and the heartbeat frequency was(76.3±3.8)times/min,the respiratory frequency and heartbeat frequency of the study group were lower than that of the control group,the difference was statistically significant(t=12.443,t=14.637,P<0.05),diaphragm activity of the study group(50.1±2.4)mm,diaphragm activity of the control group(41.5±3.2)mm,diaphragm activity of the study group was higher than the control group,the difference was statistically significant(t=15.231,P<0.05);PaCO2(47.1±2.8)mmHg in the study group,PaCO2(54.6±2.9)mmHg in the control group,PaCO2 in the study group was lower than the control group,the difference was statistically significant(t=12.795,P<0.05);PaO2(78.2±3.8)mmHg in the study group,PaO2(65.1±4.8)mmHg in the control group,PaO2 in the study group was higher than the control group,the difference was statistically significant(t=13.247,P<0.05);FVC(3.1±0.3)mL,FEV1 in the study group(2.9±0.3)mL,PEF(6.7±0.3)mL/s and MMEF(3.2±0.5)mL/s,control group FVC(2.7±0.2)mL,FEV1(2.2±0.4)mL,PEF(5.3±1.5)mL/s and MMEF(2.4±0.5)mL/s,the study group FVC,FEV1,PEF and MMEF were higher than the control group,the difference was statistically significant(t=13.464,14.341,14.231,14.267,P<0.05).Conclusion For patients with chronic pulmonary obstructive pulmonary disease,the use of detailed care combined with respiratory muscle function exercise can effectively improve the patient's lung function,increase the diaphragm's range of motion,stabilize the patient's respiratory rate,heart rate,and improve the patient's blood gas index.