呼吸功能锻炼联合气道护理对慢性阻塞性肺疾病急性加重期患者肺功能、并发症的影响

Influence of Respiratory Function Exercise Combined with Airway Nursing on Pulmonary Function, Complications of Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

目的 探析呼吸功能锻炼联合气道护理在慢性阻塞性肺疾病急性加重期(AECOPD)患者中的应用效果与价值。方法 纳入我院2022年1月至2023年1月收治的120例AECOPD患者,采用奇偶数表法将入组患者分为对照组、观察组,每组60例,对照组给予常规护理,观察组实施呼吸功能锻炼联合气道护理,比较两组的护理效果。结果 观察组呼吸衰竭、自发性气胸以及肺源性心脏病等并发症总发生率低于对照组(P <0.05)。观察组憋喘消失时间、发热消失时间、咳嗽消失时间以及肺部啰音消失时间均短于对照组(P <0.05)。干预前,两组FEV_(1)、FVC、FEV_(1)/FVC差异均无统计学意义(P> 0.05);干预后,观察组FEV_(1)、FVC、FEV_(1)/FVC均高于对照组(P <0.05)。干预前,两组WOB、Raw差异均无统计学意义(P> 0.05);干预后,观察组WOB、Raw均低于对照组(P <0.05)。干预前,6MWT、CAT评分、Borg评分差异均无统计学意义(P> 0.05);干预后,观察组6MWT高于对照组,CAT评分、Borg评分低于对照组(P <0.05)。结论 呼吸功能锻炼联合气道护理对AECOPD患者临床症状、肺功能、呼吸功能和运动耐力方面可产生积极的影响。

Objective To explore the effect and value of respiratory function exercise combined with airway nursing in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 120 patients with AECOPD were enrolled in our hospital from January 2022 to January 2023.The patients were divided evenly into the control group and the observation group by the odd-even number table method,60 cases in each group.The control group was given routine care,and the observation group was given respiratory function exercise combined with airway care.The nursing effect of the two groups were compared.Results The total incidence of respiratory failure,spontaneous pneumothorax and pulmonary heart disease in the observation group was lower than that in the control group(P<0.05).The time required for the disappearance of suffocation,fever,cough and lung rale in the observation group was shorter than that in the control group(P<0.05).Before intervention,there was no difference between the two groups in FEV_(1),FVC and FEV_(1)/FVC at thefirst second(P>0.05).After intervention,FEV_(1),FVC and FEV_(1)/FVC in the observation group were higher than those in the control group(P<0.05).Before intervention,there was no difference in WOB and Raw between the two groups(P>0.05);After intervention,WOB and Raw in the observation group were lower than those in the control group(P<0.05).Before intervention,there was no difference in 6MWT,CAT score and Borg score(P>0.05);After intervention,6MWT in the observation group was higher than that in the control group,CAT score and Borg score were lower than those in the control group(P<0.05).Conclusion Respiratory function exercise combined with airway nursing can have a positive effect on clinical symptoms,pulmonary function,respiratory function and exercise tolerance in AECOPD patients.