主动呼吸循环技术在AECOPD辅助治疗中的应用

Application of active cycle of breathing technique in the assistant treatment of AECOPD

目的:观察主动呼吸循环技术(ACBT)对急性加重期慢性阻塞性肺疾病(AECOPD)患者的治疗效果,评价其临床应用价值。方法:选取2019年5—11月在我院治疗的60例AECOPD患者为研究对象,随机分为治疗组和对照组,每组30例。对照组按呼吸科常规治疗,治疗组在此基础上辅以主动呼吸循环技术。比较两组患者7 d湿啰音消失率、抗生素使用时间、肺功能及动脉血气分析指标以及排痰量的差异。结果:治疗组患者24 h排痰量、抗生素使用天数、7 d湿啰音消失例数、血气分析指标均较对照组明显改善(P<0.05);两组患者的肺功能较治疗前均有所改善,但无统计学意义(P>0.05),两组间肺功能改善比较亦无明显差异(P>0.05)。结论:主动呼吸循环技术对中重度AECOPD有较好的疗效,可明显缩短患者急性加重期,改善动脉血气指标。但较短期的干预对肺功能的改善未见明显帮助。

Objective: To observe the assistant therapeutic effect of active cycle of breathing technique(ACBT) in patients with acute exacerbation chronic obstructive pulmonary disease(AECOPD), and to evaluate its clinical application value. Methods: A total of 60 patients with AECOPD treated in our hospital from May 2019 to November 2019 were randomly divided into the ACBT treatment group and control group, with 30 patients in each group. The control group received conventional treatment in the respiratory department, while the treatment group was supplemented with ACBT treatment on the basis of control group. The disappearance rate of wet rales within 7 days, the duration of antibiotic use, pulmonary function, arterial blood gas analysis indicators, and sputum output were compared between the two groups. Results: Compared with that respectively in control group, the sputum volume in 24 h, the number of days of antibiotic use, the disappearance rate of wet rales within 7 days, and the blood gas analysis indexes in the treatment group were significantly improved(P<0. 05), but there was no significant difference in the improvement of lung function between the two groups(P>0. 05). Conclusion: Active breathing and circulation technique has a good effect on moderate and severe AECOPD, which can significantly shorten the acute exacerbation period and improve the arterial blood gas indexes. However, short-term intervention showed no significant impact on lung function.