综合肺康复治疗稳定期慢性阻塞性肺疾病患者的效果及对肺功能、治疗依从性、生活质量的影响

Effect of comprehensive pulmonary rehabilitation in the treatment of chronic obstructive pulmonary disease patients in stable stage and its influences on pulmonary function,treatment compliance and quality of life

目的研究综合肺康复治疗稳定期慢性阻塞性肺疾病(COPD)的效果及对患者肺功能、治疗依从性、生活质量的影响。方法抽取本院2018年1月至2019年12月收治的稳定期COPD患者76例,遵照随机抽签法将其分为参照组(38例,常规药物治疗)与研究组(38例,常规药物治疗基础上加用综合肺康复治疗)。比较两组的肺功能指标、治疗依从性评分、生活质量、健康状态和6 min步行距离(6MWD)。结果治疗后,研究组的FEV1、PaO2、Barthel指数评分高于参照组,PaCO2、SGRQ评分低于参照组,6MWD长于参照组(P<0.05)。治疗后1、3个月,研究组的治疗依从性评分高于参照组(P<0.05)。结论综合肺康复治疗对于改善稳定期COPD患者的肺功能、提高临床疗效有十分重要的意义。

Objective To study the effect of comprehensive pulmonary rehabilitation in the treatment of chronic obstructive pulmonary disease(COPD)patients in stable stage and its influences on pulmonary function,treatment compliance and quality of life.Methods A total of 76 patients with COPD in stable stage admitted in our hospital from January 2018 to December 2019 were selected.The patients were divided into reference group(38 cases,treated with conventional drugs)and study group(38 cases,treated with comprehensive pulmonary rehabilitation therapy on the basis of conventional drugs)according to the method of random drawing.The pulmonary function indexes,treatment compliance score,quality of life,health status and 6 min walking distance(6MWD)were compared between the two groups.Results After treatment,FEV1,PaO2 and Barthel index score in the study group were higher than those in the reference group,and PaCO2 and the SGRQ score were lower than those in the reference group,and 6MWD was longer than that in the reference group(P<0.05).At 1 and 3 months after treatment,the treatment compliance score of the study group was higher than that of the reference group(P<0.05).Conclusion Comprehensive pulmonary rehabilitation therapy is of great significance for improving pulmonary function and clinical efficacy in patients with COPD in stable stage.