有氧运动联合呼吸训练用于慢性阻塞性肺疾病患者对肺功能及再入院次数的影响

Effects of aerobic exercise combined with respiratory training on lung function and readmissionfrequency in patients with chronic obstructive pulmonary disease

目的 分析有氧运动联合呼吸训练对慢性阻塞性肺疾病(COPD)患者肺功能及再入院次数的影响。方法 选择2019年1月~2022年1月在海安市人民医院进行治疗的120例COPD患者,随机数表法分为观察组和对照组,各60例。对照组在常规治疗基础上给予常规健康宣讲干预,观察组在常规对症治疗以及常规干预基础上给予有氧运动联合呼吸训练。比较两组干预前后肺功能、生活能力以及生存质量、呼吸困难程度以及运动能力、门诊以及再入院次数。结果 干预后两组肺功能均有所上升,且观察组上升较为明显,差异有统计学意义(P <0.05);干预后两组Barthel指数量表(BI)评分均有所上升,慢阻肺患者生存质量量表(COPD-QOL)评分下降,且观察组BI高于对照组,COPD-QOL低于对照组,差异有统计学意义(P <0.05);干预后两组呼吸困难程度均有所下降,运动能力有所提升,且观察组呼吸困难程度以及运动能力均优于对照组,差异有统计学意义(P<0.05);干预1年后两组门诊次数以及入院次数均有所下降,且观察组下降更为显著,差异有统计学意义(P <0.05)。结论 有氧运动联合呼吸训练可显著改善COPD患者肺功能各项指标,减轻呼吸困难情况,提高生活质量与运动能力,减少再入院次数,具有一定临床应用价值。

Objective To analyze the effects of aerobic exercise combined with respiratory training on lung function and readmission times in patients with chronic obstructive pulmonary disease(COPD).Methods A total of 120 patients with COPD treated at our hospital from January 2019 to January 2022 were randomly divided into observation group and control group,with 60 patients in each group.The control group received routine health promotion intervention along with standard treatment,while the observation group received aerobic exercise combined with respiratory training in addition to routine symptomatic treatment and intervention.Lung function,functional ability and quality of life,dyspnea and exercise ability,as well as outpatient visits and readmissions rates were compared between the two groups before and after the intervention.Results After the intervention,both groups showed improved lung function(P<0.05),with a more significant improvement observed in the observation group(P<0.05).The Barthel index scale(BI)score of both groups increased,COPD quality of life scale(QOL)score of COPD patients decreased after the intervention(P<0.05).The BI score of observation group was higher than control group,and COPD-QOL was lower than control group(P<0.05).After the intervention,the degree of dyspnea decreased and exercise ability increased(P<0.05),and the degree of dyspnea and exercise ability of the observation group were better than those of the control group(P<0.05).After 1 year of intervention,both groups experienced a reduction in outpatient visits and hospital admissions(P<0.05),with a more significant reduction in the observation group(P<0.05).Conclusions Aerobic exercise combined with respiratory training can significantly improve pulmonary function indicators in COPD patients.It alleviates dyspnea,improves quality of life and exercise ability,and reduces frequency of readmission.These findings suggest that this combined intervention approach has clinical application value for COPA management.