探讨肺功能康复训练对慢性阻塞性肺疾病患者呼吸功能、肺功能及运动耐力的影响

Exploration on the Effects of Pulmonary Function Rehabilitation Training on Respiratory Function,Lung Function and Exercise Endurance in Patients with Chronic Obstructive Pulmonary Disease

目的解析肺功能康复训练对慢性阻塞性肺疾病(COPD)患者的呼吸功能、肺功能、运动耐力的作用。方法方便选取该院2018年1月—2019年12月间的COPD患者68例,计算机筛选后随机分为对照组和观察组,每组34例,在康复期对照组接受常规护理,观察组在对照组的基础上开展肺功能康复训练,对比肺功能指标和运动耐力。结果经训练呼吸功能对比:RMS[观察组(8.70±1.26)μV>对照组(7.69±1.30)μV]、MRC[观察组(1.22±0.12)分<对照组(2.50±0.25)分],差异有统计学意义(t=3.253、26.914,P=0.002、0.001<0.05);肺功能对比:FEV1[观察组(1.52±0.41)L>对照组(1.29±0.32)L]、FVC[观察组(2.39±0.50)L>对照组(2.02±0.48)L]、FEV1/FVC[观察组(68.34±7.05)%>对照组(63.75±6.96)],差异有统计学意义(t=2.579、3.113、2.702,P=0.012、0.003、0.009<0.05);运动耐力对比:6MWD[观察组(274.20±25.05)m>对照组(245.26±22.83)m]、CAT[观察组(16.36±2.07)分<对照组(18.01±2.91)分],差异有统计学意义(t=4.979、2.694,P=0.001、0.009<0.05)。结论 COPD康复护理管理中,肺功能训练应用价值高,可改善患者的肺功能和呼吸功能,提高运动耐力,推荐推广。

Objective To analyze the effect of pulmonary function rehabilitation training on the respiratory function,lung function and exercise tolerance of patients with chronic obstructive pulmonary disease(COPD).Methods A total of 68 COPD patients in the hospital from January 2018 to December 2019 were conveniently selected.After computer screening,they were randomly divided into control and observation groups,with 34 cases in each group.During the rehabilitation period,the control group received routine nursing care,and the observation group carried out pulmonary function rehabilitation training on the basis of the control group,and compared lung function indicators and exercise endurance.Results Respiratory function comparison after training:RMS[observation group(8.70±1.26)μV>control group(7.69±1.30)μV],MRC[observation group(1.22±0.12)points<control group(2.50±0.25)points],the difference was statistically significant(t=3.253,26.914,P=0.002,0.001<0.05);lung function comparison:FEV1[observation group(1.52±0.41)L>control group(1.29±0.32)L],FVC[observation group(2.39±0.50)L>control group(2.02±0.48)L],FEV1/FVC[observation group(68.34±7.05)%>control group(63.75±6.96)%],the difference was statistically significant(t=2.579,3.113,2.702,P=0.012,0.003,0.009<0.05);exercise endurance comparison:6MWD[observation group(274.20±25.05)m>control group(245.26±22.83)m],CAT[observation group(16.36±2.07)points<control group(18.01±2.91)points],the difference was statistically significant(t=4.979,2.694,P=0.001,0.009<0.05).Conclusion In the management of COPD rehabilitation nursing,pulmonary function training has high application value,which can improve patients'pulmonary function and respiratory function,and improve exercise endurance.It is recommended for promotion.