COPD患者开展呼吸训练的效果探讨

Discussion on the effect of respiratory training in COPD patients

目的探讨慢性阻塞性肺疾病(COPD)患者开展呼吸训练的效果。方法62例慢性阻塞性肺疾病患者,根据是否接受呼吸训练分为研究组和对照组,每组31例。对照组患者仅接受常规药物干预,研究组患者在对照组基础上接受呼吸训练干预。比较两组患者干预前后肺功能指标、博格(Borg)呼吸困难指数,干预后肺功能康复效果及6个月内急性发作率。结果干预前,两组患者的呼吸频率、血氧饱和度、血氧分压、每分钟最大通气量、6 min步行距离、Borg呼吸困难指数比较,差异均无统计学意义(P>0.05)。干预后,两组患者的呼吸频率、Borg呼吸困难指数均低于本组干预前,血氧饱和度、血氧分压、每分钟最大通气量均高于本组干预前,6 min步行距离长于本组干预前,研究组患者的呼吸频率(19.27±1.27)次/min、Borg呼吸困难指数(1.32±0.67)分均低于对照组的(22.09±1.86)次/min、(2.06±1.34)分,血氧饱和度(98.52±0.38)%、血氧分压(91.51±1.48)mm Hg(1 mm Hg=0.133 kPa)、每分钟最大通气量(55.58±6.73)L均高于对照组的(95.47±0.71)%、(88.42±2.06)mm Hg、(50.42±7.91)L,6 min步行距离(225.27±21.01)m长于对照组的(198.54±17.11)m,差异具有统计学意义(P<0.05)。研究组患者干预后的肺功能康复总有效率100.00%高于对照组的80.65%,6个月内急性发作率3.23%低于对照组的25.81%,差异具有统计学意义(P<0.05)。结论慢性阻塞性肺疾病患者开展呼吸训练,可显著改善患者的肺功能指标,减轻呼吸困难与疲劳程度,提升肺功能康复总有效率,减少6个月内急性发作率,效果理想。

Objective To discuss the effect of respiratory training in chronic obstructive pulmonary disease(COPD)patients.Methods A total of 62 patients with COPD were divided into a research group and a control group according to whether they received respiratory training or not,with 31 patients in each group.Patients in the control group received conventional drug intervention only,while patients in the research group received respiratory training intervention on the basis of the control group.The pulmonary function index,Borg dyspnea index,pulmonary function rehabilitation effect after intervention and acute attack rate within 6 months were compared between the two groups.Results Before intervention,the respiratory rate,oxygen saturation,partial pressure of blood oxygen,maximum ventilation per minute,6-min walk distance and Borg dyspnea index were compared between the two groups,and the differences were not statistically significant(P>0.05).After intervention,the respiratory rate and Borg dyspnea index in both groups were lower than those before intervention in this group;the oxygen saturation,partial pressure of oxygen,and maximum ventilation per minute in both groups were higher than those before intervention in this group;the 6-min walk distance in both groups was longer than that before intervention in this group;the respiratory rate(19.27±1.27)times/min and Borg dyspnea index(1.32±0.67)points in the research group were lower than(22.09±1.86)times/min and(2.06±1.34)points in the control group;the oxygen saturation(98.52±0.38)%,partial pressure of oxygen(91.51±1.48)mm Hg(1 mm Hg=0.133 kPa),and maximum ventilation per minute(55.58±6.73)L in the research group were higher than(95.47±0.71)%,(88.42±2.06)mm Hg,and(50.42±7.91)L in the control group;the 6-min walking distance(225.27±21.01)m in the research group was longer than(198.54±17.11)m in the control group;the differences were statistically significant(P<0.05).After intervention,the total effective rate of pulmonary function rehabilitation was 100.00%in the research group,which was higher than 80.65%in the control group;while the acute attack rate within 6 months was 3.23%in the research group,which was lower than 25.81%in the control group;the differences were statistically significant(P<0.05).Conclusion Respiratory training for patients with chronic obstructive pulmonary disease can significantly improve the pulmonary function indicators of patients,reduce dyspnea and fatigue,improve the overall effective rate of pulmonary function rehabilitation,and reduce the acute attack rate within 6 months.The effect is ideal.