肺康复在治疗慢性阻塞性肺疾病中的应用及疗效分析

Application and Efficacy Analysis of Pulmonary Rehabilitation in the Treatment of Chronic Obstructive Pulmonary Disease

目的探讨对慢性阻塞性肺疾病(COPD)患者实行肺康复治疗的临床疗效。方法选取北京燕化医院2020年1月—2021年1月收治的80例COPD患者作为研究对象,按照Spread软件分组方法分为对照组(40例,常规治疗)与观察组(40例,肺康复治疗)。比较两组疗效。结果治疗后,观察组第1秒用力呼吸容积与用力肺活量比值(FEV1/FVC%)及用力肺活量(FVC)分别为(62.85±2.74)%、(1.98±0.17)L均优于对照组,差异有统计学意义(t=15.824、25.280,P<0.05)。观察组动脉血氧分压(PaO_(2))及动脉二氧化碳分压(PaCO_(2))水平分别为(90.14±2.73)mmHg、(35.05±3.14)mmHg优于对照组,差异有统计学意义(t=23.874、14.151,P<0.05)。观察组6 min步行试验结果提升情况及住院时间分别为(40.93±1.69)m、(11.64±2.51)d优于对照组,差异有统计学意义(t=22.088、5.646,P<0.05)。观察组心理功能、物质生活、躯体功能、社会功能评分分别为(90.44±4.34)分、(88.55±5.46)分、(91.27±3.71)分、(86.24±3.68)分优于对照组,差异有统计学意义(t=9.774、11.935、9.547、12.247,P<0.05)。结论对COPD患者实行肺康复,能有效改善肺功能、动脉血气分析指标,提升6 min步行试验结果,减少住院时间,能有效提升生活质量。

Objective To investigate the clinical efficacy of pulmonary rehabilitation for patients with chronic obstructive pulmonary disease(COPD).Methods A total of 80 COPD patients admitted to Beijing Yanhua Hospital from January 2020 to January 2021 were selected as the research subjects.According to the grouping method of Spread software,they were divided into control group(40 cases,conventional treatment)and observation group(40 cases,pulmonary rehabilitation treatment).Compared the therapeutic effects of the two groups.Results After treatment,the ratio of forced respiratory volume in the first second to forced vital capacity(FEV1/FVC%)and forced vital capacity(FVC)of the observation group were(62.85±2.74)% and(1.98±0.17)L,which were better than those of the control group,respectively,the difference was statistically significant(t=15.824,25.280,P<0.05).The arterial blood gas analysis indicators arterial blood oxygen partial pressure(PaO_(2))and arterial carbon dioxide partial pressure(PaCO_(2))levels in the observation group were(90.14±2.73)mmHg and(35.05±3.14)mmHg,respectively,which were better than those in the control group,and the difference was statistically significant(t=23.874,14.151,P<0.05).The improvement of the 6-min walking test results and the hospitalization time of the patients in the observation group were(40.93±1.69)m and(11.64±2.51)d,respectively,which were better than those in the control group,and the difference was statistically significant(t=22.088,5.646,P<0.05).The scores of psychological function,material life,physical function and social function of the observation group were respectively(90.44±4.34)points,(88.55±5.46)points,(91.27±3.71)points and(86.24±3.68)points,which were better than those of the control group,the difference was statistically significant(t=9.774,11.935,9.547,12.247,P<0.05).Conclusion Pulmonary rehabilitation for COPD patients can effectively improve the pulmonary function index,improve the arterial blood gas analysis index,improve the patient's 6 min walking test result,reduce the patient's hospitalization time,and effectively improve the patient's quality of life.