BODE分级方案用于慢性阻塞性肺疾病急性加重患者康复干预

Rehabilitation intervention based on the BODE index for patients with acute exacerbation of chronic obstructive pulmonary disease

目的提高慢性阻塞性肺疾病急性加重(AECOPD)患者肺功能及生活质量。方法将188例AECOPD患者按入院时间分为对照组(90例)与观察组(98例)。两组均行规范治疗,在此基础上对照组行常规护理和肺功能锻炼,观察组根据对患者的BODE指数评分构建和实施A、B、C、D 4级康复训练与护理方案。实施1年后评价效果。结果对照组85例、观察组92例完成全程研究进入数据分析。观察组FEV1、FEV1/FVC%及6分钟步行测试距离显著优于对照组,生活功能量表的躯体功能、社会功能、情绪功能评分显著优于对照组(P<0.05,P<0.01)。结论对AECOPD患者,依据BODE指数评分构建和实施分级康复训练与护理方案,可有效持续改善患者肺功能水平及运动耐力,从而改善生活质量。

Objective To improve lung function and quality of life of patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 188 patients with AECOPD were divided into a control group of 90 and an intervention group of 98 according to their admission time.Both groups received standardized treatment.The control group received conventional nursing and exercise training in pulmonary rehabilitation,while the intervention group was given a 4-grade rehabilitation training that was developed based on the BODE(incorporating body mass index,airflow obstruction,dyspnea and exercise capacity)index of the patients.The effect was evaluated after 1 year of implementation.Results A total of 85 cases in the control group and 92 in the intervention group completed the study.The values of FEV1,FEV1/FVC%and 6-min walk distance,as well as the physical,social and emotional function of quality of life in the intervention group were significantly better compared with the control group after the intervention(P<0.05,P<0.01).Conclusion The delivery of graded rehabilitation training based on the BODE index for patients with AECOPD can effectively and continuously improve their lung function and exercise tolerance,thus to enhance quality of life.