阻力呼吸训练器联合缩唇腹式呼吸训练对老年稳定期COPD患者肺功能的改善作用及对生活质量的影响

The Improvement of Lung Function and the Effect on Quality of Life in Elderly Patients with Stable COPD by Resistance Breathing Training Apparatus Combined with Labial Abdominal Breathing Training

目的:分析阻力呼吸训练器联合缩唇腹式呼吸训练对老年稳定期慢性阻塞性肺疾病(COPD)患者肺功能的改善作用及对生活质量的影响。方法:选择2018年1月-2019年12月本院收治的老年稳定期COPD患者100例。根据随机数字表法分成观察组和对照组,每组50例。对照组进行缩唇腹式呼吸训练,观察组应用阻力呼吸训练器联合缩唇腹式呼吸训练,比较两组患者肺功能及生活质量评分。结果:训练后,观察组FEV1、FVC、FEV1/FVC水平均高于训练前,且均高于对照组,差异均有统计学意义(P<0.05)。训练后,对照组FEV1/FVC水平高于训练前,差异有统计学意义(P<0.05)。训练后,两组PaCO2水平均低于训练前,PaO2水平均高于训练前,差异均有统计学意义(P<0.05)。训练后,观察组PaCO2水平低于对照组,PaO2水平高于对照组,差异均有统计学意义(P<0.05)。训练后,观察组患者生活质量各项评分均高于对照组,差异均有统计学意义(P<0.05)。结论:阻力呼吸训练器联合缩唇腹式呼吸训练对老年稳定期COPD患者肺功能具有明显的改善作用,是优秀的呼吸训练方法。

Objective:To analyze the improvement of lung function and the effect on quality of life in elderly patients with stable chronic obstructive pulmonary disease(COPD)with resistance breathing apparatus combined with labial abdominal breathing training.Method:A total of 100 elderly patients with stable COPD admitted to our hospital from January 2018 to December 2019 were selected.According to the random number table method,the patients were divided into observation group and control group,50 cases in each group.The control group underwent labial reduction and abdominal breathing training,the observation group was treated with resistance breathing apparatus combined with labial abdominal breathing training.Lung function and quality of life scores were compared between the two groups.Result:After training,the levels of FEV1,FVC and FEV1/FVC in the observation group were higher than those before training and those in the control group,the differences were statistically significant(P<0.05).After training,FEV1/FVC level of control group was higher than that before training,the difference was statistically significant(P<0.05).After training,the level of PaCO2 in the two groups were lower than those of before training,the level of PaO2 were higher than those of before training,the differences were statistically significant(P<0.05).After training,the PaCO2 level of the observation group was lower than that of the control group,the PaO2 level was higher than that of the control group,the differences were statistically significant(P<0.05).After training,the quality of life scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Resistance breathing apparatus combined with labial abdominal breathing training has obvious improvement effect on lung function of elderly patients with stable COPD,which is an excellent respiratory training method.