缩唇腹式呼吸联合立式呼吸体操在慢性阻塞性肺疾病患者中的干预价值

The Intervention Value of Lip Contraction Abdominal Breathing Combined with Vertical Breathing Gymnastics in Patients with Chronic Obstructive Pulmonary Disease

目的:探析缩唇腹式呼吸联合立式呼吸体操在慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者中的干预价值。方法:选取2018年3月-2019年3月本院收治的COPD患者70例进行观察研究,以护理方法的不同进行分组,将实施常规护理的35例患者纳入对照组,在此基础上实施缩唇腹式呼吸联合立式呼吸体操的35例患者纳入观察组,对比两组的肺功能指标[第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、呼气峰值流速(PEF)]、血气指标[二氧化碳分压(PaCO2)、氧分压(PaO2)]及生活质量评分。结果:两组干预前肺功能指标(FEV1、FVC、PEF)比较差异无统计学意义(P>0.05);观察组干预后的FEV1、PEF高于对照组,差异有统计学意义(P<0.05),但FVC与对照组比较差异无统计学意义(P>0.05)。两组干预前的血气指标(PaCO2、PaO2)比较差异无统计学意义(P>0.05);干预后,观察组的PaCO2低于对照组,PaO2高于对照组,差异均有统计学意义(P<0.05)。两组干预前的生活质量(呼吸症状、疾病影响、活动受限)评分比较差异无统计学意义(P>0.05);干预后,观察组的呼吸症状、疾病影响、活动受限评分均低于对照组,差异有统计学意义(P<0.05)。结论:缩唇腹式呼吸联合立式呼吸体操应用在COPD中,能够改善患者的肺功能指标与血气指标,并能改善患者生活质量。

Objective:To explore the intervention value of lip contraction abdominal breathing combined with vertical breathing gymnastics in patients with chronic obstructive pulmonary disease (COPD).Method:From March 2018 to March 2019,70 COPD patients admitted to our hospital were selected for observation and study.According to the different nursing methods,35 patients who performed routine nursing were included in the control group.On this basis,35 patients who performed lip contraction abdominal breathing combined with vertical breathing gymnastics were included in the observation group.The pulmonary function indexes (FEV1,FVC,PEF),blood gas indexes (PaCO2,PaO2) and quality of life scores of the two groups were compared.Result:There were no significant differences in pulmonary function indexes (FEV1,FVC,PEF) between the two groups before intervention (P>0.05).After intervention,FEV1 and PEF in the observation group were higher than those in the control group,the differences were statistically significant (P<0.05),but there was no significant difference in FVC compared with the control group (P>0.05).There were no significant differences in the blood gas indexes (PaCO2 and PaO2) between the two groups before intervention (P>0.05).After intervention,the PaCO2 of the observation group was lower than that of the control group,and the PaO2 of the observation group was higher than that of the control group,the differences were statistically significant (P<0.05).There were no significant differences in the scores of quality of life (respiratory symptoms,disease influence,activity restriction) between the two groups before intervention (P>0.05).After intervention,the scores of respiratory symptoms,disease influence and activity restriction in the observation group were lower than those in the control group,the differences were statistically significant (P<0.05).Conclusion:The application of lip contraction abdominal breathing combined with vertical breathing gymnastics in COPD can improve the lung function index and blood gas index,and improve the quality of life of patients.