远程交互式肺康复训练对慢性阻塞性肺疾病患者的影响

Effect of remote interactive pulmonary rehabilitation training on chronic obstructive pulmonary disease patients

目的探讨远程交互式肺康复训练对慢性阻塞性肺疾病(COPD)患者肺功能及生活质量等疗效。方法选取2018年1月至2020年1月雅安市人民医院呼吸与危重症医学科门诊就诊的COPD患者109例进行回顾性研究,分为对照组(常规药物治疗,53例)和干预组(远程交互式肺康复训练联合常规药物治疗,56例)。对照组依据指南进行常规药物治疗,干预组在对照组基础上通过微信平台实现远程交互式肺康复训练,均干预12周,干预结束后,对比2组第1秒用力呼气容积(FEV1)、FEV1/用力肺活量(FVC)、第1秒用力呼气容积占预计值百分比(FEV1%pred)、6分钟步行距离(6MWD)、汉密尔顿焦虑量表(HAMA)、慢性阻塞性肺疾病评估测试(CAT)及汉密顿抑郁量表(HAMD)评分差异。结果干预组FEV1、FEV1/FVC、FEV1%pred、6MWD显著高于对照组,差异均有统计学意义(P值均<0.05);干预组CAT、HAMA及HAMD评分显著低于对照组,差异均有统计学意义(P值均<0.05)。结论远程交互式肺康复训练不仅可提高COPD患者肺功能、运动能力及生活质量,且降低其焦虑抑郁水平,值得临床实施及推广。

Objective To explore the effects of remote interactive pulmonary rehabilitation training on lung function and quality of life of patients with chronic obstructive pulmonary disease(COPD).Methods Retrospective study.A total of 109 COPD patients who attended the Respiratory and Critical Care Medicine Department of Ya′an People′s Hospital from January 2018 to January 2020 were selected and divided into a control group(conventional drug treatment,n=53 cases)and a random number table method.Intervention group(remote interactive pulmonary rehabilitation training combined with conventional medical treatment,n=56 cases).Control group received conventional medical treatment according to the guidelines,intervention group realized remote interactive pulmonary rehabilitation training through WeChat platform on the basis of control group,both interventions 12 weeks,after the intervention,compare the two groups of forced expiratory volume in the first second(FEV1),FEV1/FVC,FEV1%pred,6-minute walking distance(6MWD),Hamilton anxiety scale(HAMA),chronic obstructive pulmonary disease The difference in scoring between CAT and Hamilton Depression Scale(HAMD).Results The FEV1,FEV1/FVC,FEV1%pred,and 6MWD of the intervention group were significantly higher than those of the control group,and the differences were statistically significant(all P<0.05).The intervention group′s CAT,HAMA and HAMD scores were significantly lower than those of the control group,and the differences were both There is statistical significance(all P<0.05).Conclusions Long-distance interactive pulmonary rehabilitation training can not only improve the lung function,exercise capacity and quality of life of patients with COPD,but also reduce their anxiety and depression levels.It is worthy of clinical implementation and promotion.