支气管扩张症治疗中主动循环呼吸运动对病程的影响

Effect of active circulation and respiration on the course of bronchiectasis

目的探讨支气管扩张症治疗中主动循环呼吸运动对病程的影响。方法选取江西省新余市新钢中心医院2020年1~5月收治的80例支气管扩张症伴感染患者作为研究对象,按治疗方法不同分为对照组和研究组,每组各40例。对照组接受抗生素治疗,研究组在抗生素治疗基础上开展主动循环呼吸运动训练,比较两组患者住院相关情况、6 min步行试验结果及用力肺活量(FVC)、第1秒用力呼气量(FEV1)、呼气峰流速、呼吸频率等肺功能指标。结果研究组患者抗生素药物使用时间、住院时间均短于对照组,且住院费用低于对照组,差异有统计学意义(P<0.05)。两组患者治疗前6 min步行距离比较,差异无统计学意义(P>0.05);治疗后,两组患者6 min步行距离长于治疗前,差异有统计学意义(P<0.05);治疗后,研究组6 min步行距离长于对照组,差异有统计学意义(P<0.05)。两组患者治疗前FVC、FEV1、呼气峰流速、呼吸频率等肺功能指标比较,差异无统计学意义(P>0.05);治疗后,两组患者的FVC、FEV1高于治疗前,呼气峰流速快于治疗前,呼吸频率低于治疗前,差异均有统计学意义(P<0.05);治疗后,研究组患者的FVC、FEV1高于对照组,呼气峰流速快于对照组,呼吸频率低于对照组,差异均有统计学意义(P<0.05)。结论主动循环呼吸运动训练可有效缩短支气管扩张症患者病程,亦可同步提升患者肺功能、运动耐力,并降低住院费用。

Objective To explore the effect of active circulatory breathing exercise on the course of disease during bronchodilation therapy.Methods From January to May in 2020,a total of 80 patients with bronchiectasis and infection who were admitted to Xinyu Xingang Central Hospital of Jiangxi Province were selected as the research objects.According to different treatment methods,they were divided into the control group and the study group,with 40 cases in each group.The control group received antibiotic treatment,and the study group carried out active circulatory and breathing exercise training on the basis of antibiotic treatment.The hospitalization status,6-minute walk test results,forced vital capacity(FVC),forced expiratory volume in the first second(FEV1),peak expiratory flow rate,respiratory rate and other pulmonary function indexes of patients were compared between the two groups.Results The duration of antibiotic use and hospital stay in the study group were shorter than those in the control group,and the cost of hospital stay was lower than that in the control group,with statistically significant differences(P<0.05).There was no significant difference in 6-minute walk test result between the two groups before treatment(P>0.05);the 6-minute walk test results of two groups after treatment were longer than those before treatment,with statistically significant differences(P<0.05);the 6-minute walk test result after treatment in the study group was longer than that in the control group,with statistically significant differences(P<0.05).There were no statistically significant differences between the two groups in lung function indicators such as FVC,FEV1,expiratory peak flow rate,and respiratory frequency before treatment(P>0.05);after treatment,the FVC and FEV1 of patients of the two groups were higher than those before treatment,the peak expiratory flow rate was faster than that before treatment,and the respiratory frequency was lower than that before treatment,with statistically significant differences(P<0.05);after treatment,FVC and FEV1 of the the study group were higher than those in the control group,the peak expiratory flow rate was faster than that in the control group,and the respiratory frequency was lower than that in the control group,with statistically significant differences(P<0.05).Conclusion Active circulatory respiratory exercise training can effectively shorten the course of patients with bronchiectasis,simultaneously improve lung function,exercise endurance and reduce the cost of hospitalization.